| NPI | 1124664925 |
|---|---|
| Doing Business As | BROCKTON DENTAL AND ORTHODONTICS PC |
| Entity Type | Organization |
| Authorized Contact | NEETU BANSAL Owner 617-275-6306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |