Brockton Family Dental Inc.

NPI #1235212226 in Brockton, Massachusetts

Provider Information

NPI Number: 1235212226
Entity Type: Organization
Organization Name: Brockton Family Dental Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2006
Last Updated: Mar 5, 2012

Practice Location

Address: 4 MAIN ST
City: Brockton
State: Massachusetts
ZIP Code: 02301-4027
Phone: (508) 587-7775

Authorized Official

Name: DR. SANG BAE, M.D.
Title: OWNER
Phone: (508) 587-7775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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