For All Ages Dental Associates

NPI #1396123642 in Brockton, Massachusetts

Provider Information

NPI Number: 1396123642
Entity Type: Organization
Organization Name: For All Ages Dental Associates
Primary Specialty: Dentist
Enumeration Date: May 7, 2015
Last Updated: Jan 5, 2016

Practice Location

Address: 478 TORREY ST
Address 2: SUITE 1
City: Brockton
State: Massachusetts
ZIP Code: 02301-4696
Phone: (508) 586-1800

Authorized Official

Name: JENIEVE PAUL, DMD
Title: OWNER SOLE MBR
Phone: (508) 586-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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