| Anthony C Broccoli Jr Dmd Inc | |
|
15 Central St Andover MA 01810 | |
| (978) 475-0450 | |
| Not Available |
| Full Name | Anthony C Broccoli Jr Dmd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15 Central St, Andover, Massachusetts |
| Authorized Official Name and Position | Anthony C Broccoli (PRESIDENT) |
| Authorized Official Contact | 9784750450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony C Broccoli Jr Dmd Inc 15 Central St Andover MA 01810 Ph: (978) 475-0450 | Anthony C Broccoli Jr Dmd Inc 15 Central St Andover MA 01810 Ph: (978) 475-0450 |
| NPI Number | 1508088857 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508088857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 16891 (Massachusetts) | Primary |
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