Southeast Orthodontics
NPI #1538224696 in Raynham, Massachusetts
Provider Information
- NPI Number
- 1538224696
- Entity Type
- Organization
- Organization Name
- Southeast Orthodontics
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Oct 4, 2016
Practice Location
- Address
- 302 BROADWAY
- Address 2
- UNIT 6
- City
- Raynham
- State
- Massachusetts
- ZIP Code
- 02767
- Phone
- (508) 880-5891
Authorized Official
- Name
- BRIAN RICHARD GAUDREAULT, D.M.D.
- Title
- PRESIDENT
- Phone
- (508) 880-5891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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