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1548296874
GRIGORY BABADUSTOV
BROCKTON, MA
NPI
1548296874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA 17185)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
-- GRIGORY BABADUSTOV DMD
200 WESTGATE DRIVE STE E135
BROCKTON, MA 02301
Phone number: 508-583-3840
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Mailing Address
-- GRIGORY BABADUSTOV DMD
20 EGMONT ST APT 3
BROOKLINE, MA 02446-3614
Phone number: 617-734-4164
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