| Creative Smiles Dental Care, Pllc | |
|
907 Main St Brockton MA 02301-6629 | |
| (630) 456-6334 | |
| Not Available |
| Full Name | Creative Smiles Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 907 Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Mrugank M Sardhara (MANAGER) |
| Authorized Official Contact | 6304566334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Smiles Dental Care, Pllc 800 Pleasant St Apt 809 New Bedford MA 02740-6128 Ph: (630) 456-6334 | Creative Smiles Dental Care, Pllc 907 Main St Brockton MA 02301-6629 Ph: (630) 456-6334 |
| NPI Number | 1225441819 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 06/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225441819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN1856486 (Massachusetts) | Primary |
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