Brockton Oral & Maxillofacial Surgery INC

NPI #1457370504 in Brockton, Massachusetts

Provider Information

NPI Number: 1457370504
Entity Type: Organization
Organization Name: Brockton Oral & Maxillofacial Surgery INC
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1351 MAIN ST
City: Brockton
State: Massachusetts
ZIP Code: 02301
Phone: (508) 587-2000

Authorized Official

Name: PAUL M FITZGERALD, DMD
Title: PRESIDENT
Phone: (508) 587-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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