NPI | 1083801419 |
---|---|
Doing Business As | ADVENTURE DENTAL OF BROCKTON |
Entity Type | Organization |
Authorized Contact | RONALD B. MONTANO Owner 719-576-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |