Belmont Family Dental Center Of Brockton
Dentist, General Practice in Brockton, MA. Organization (NPI-2).
NPI number1972140390
StatusActive
Last updated in NPPESDec 4, 2019
Details
- NPI
- 1972140390
- Entity type
- Organization (NPI-2)
- Legal business name
- Belmont Family Dental Center Of Brockton
- Organization subpart
- No
- Enumeration date
- Dec 4, 2019
- Last updated
- Dec 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
185 Belmont StBrockton, MA 02301-5159
Phone 508-586-2668
Mailing address
185 Belmont StBrockton, MA 02301-5159
Phone 508-586-2668
Authorized official
Alison M Hubbard
Owner Dentist
5085862668
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