| Michael G. Broutsas D.d.s.,p.c. | |
|
54 Winthrop St Taunton MA 02780-4228 | |
| (508) 824-7023 | |
| (823) 075-7508 |
| Full Name | Michael G. Broutsas D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 54 Winthrop St, Taunton, Massachusetts |
| Authorized Official Name and Position | Michael G Broutsas (ORAL SURGEON) |
| Authorized Official Contact | 5088247023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G. Broutsas D.d.s.,p.c. 54 Winthrop St Taunton MA 02780-4228 Ph: (508) 824-7023 | Michael G. Broutsas D.d.s.,p.c. 54 Winthrop St Taunton MA 02780-4228 Ph: (508) 824-7023 |
| NPI Number | 1205146248 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205146248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12159 (Massachusetts) | Primary |
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