Southeast Orthodontics, Inc.
NPI #1790236784 in Lakeville, Massachusetts
Provider Information
- NPI Number
- 1790236784
- Entity Type
- Organization
- Organization Name
- Southeast Orthodontics, Inc.
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Oct 14, 2016
- Last Updated
- Oct 14, 2016
Practice Location
- Address
- 40 MAIN ST
- City
- Lakeville
- State
- Massachusetts
- ZIP Code
- 02347-1607
- Phone
- (508) 880-5891
Authorized Official
- Name
- BRIAN RICHARD GAUDREAULT, DMD
- Title
- PRESIDENT
- Phone
- (508) 880-5891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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