Southeast Pediatric Dentistry and Orthodontics, PC
NPI #1457772246 in Seekonk, Massachusetts
Provider Information
- NPI Number
- 1457772246
- Entity Type
- Organization
- Organization Name
- Southeast Pediatric Dentistry and Orthodontics, PC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 20, 2013
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 23 COMMERCE WAY
- City
- Seekonk
- State
- Massachusetts
- ZIP Code
- 02771-5816
- Phone
- (508) 336-4994
Authorized Official
- Name
- DR. BRIAN RICHARD GAUDREAULT, DMD
- Title
- OWNER
- Phone
- (508) 345-7075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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