| For All Ages Family Dental | |
|
478 Torrey St Brockton MA 02301-4696 | |
| (508) 586-1800 | |
| Not Available |
| Full Name | For All Ages Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 478 Torrey St, Brockton, Massachusetts |
| Authorized Official Name and Position | Roula Giannos (PRESIDENT) |
| Authorized Official Contact | 6179054395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For All Ages Family Dental 478 Torrey St Brockton MA 02301-4696 Ph: (508) 586-1800 | For All Ages Family Dental 478 Torrey St Brockton MA 02301-4696 Ph: (508) 586-1800 |
| NPI Number | 1205269073 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205269073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21173 (Massachusetts) | Primary |
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