Dental Dreams, LLC

NPI #1144498726 in Brockton, Massachusetts

Provider Information

NPI Number: 1144498726
Entity Type: Organization
Organization Name: Dental Dreams, LLC
Primary Specialty: Dentist
Enumeration Date: Feb 15, 2008
Last Updated: Feb 15, 2008

Practice Location

Address: 698 CRESCENT ST
City: Brockton
State: Massachusetts
ZIP Code: 02302-3360
Phone: (508) 583-2256

Authorized Official

Name: MR. TROY T KLUCK
Title: VP MARKETING / COMPLIANCE
Phone: (920) 838-1649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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