| Hero Dental Of Brockton, Pa | |
|
21torrey Brockton MA 02301 | |
| (719) 576-1850 | |
| (719) 576-1929 |
| Full Name | Hero Dental Of Brockton, Pa |
|---|---|
| Speciality | Dentist |
| Location | 21torrey, Brockton, Massachusetts |
| Authorized Official Name and Position | Ronald B. Montano (OWNER) |
| Authorized Official Contact | 7195761850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hero Dental Of Brockton, Pa 1255 Lake Plaza Dr Ste. 270 Colorado Springs CO 80906-3500 Ph: (719) 576-1850 | Hero Dental Of Brockton, Pa 21torrey Brockton MA 02301 Ph: (719) 576-1850 |
| NPI Number | 1083801419 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083801419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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