| NPI | 1487183265 |
|---|---|
| Doing Business As | SOUTHEAST ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN R GAUDREAULT Owner/President 508-880-5891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MH 19702) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |