Mathi Theva Dmd PC
NPI #1699704999 in Brockton, Massachusetts
Provider Information
- NPI Number
- 1699704999
- Entity Type
- Organization
- Organization Name
- Mathi Theva Dmd PC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 WEST GATE DR
- Address 2
- SUITE 135
- City
- Brockton
- State
- Massachusetts
- ZIP Code
- 02301
- Phone
- (508) 583-3840
Authorized Official
- Name
- MATHI THEVA
- Title
- PRESIDENT
- Phone
- (508) 583-3840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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