| Gentle Dental Brockton | |
|
641 Belmont St Brockton MA 02301-4928 | |
| (508) 583-3700 | |
| Not Available |
| Full Name | Gentle Dental Brockton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 641 Belmont St, Brockton, Massachusetts |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Dental Brockton 200 5th Ave Fl 3 Waltham MA 02451-8759 Ph: (781) 647-0772 | Gentle Dental Brockton 641 Belmont St Brockton MA 02301-4928 Ph: (508) 583-3700 |
| NPI Number | 1336552561 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336552561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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