| NPI | 1760610026 |
|---|---|
| Former Legal Business Name | BROCKTON FAMILY DENTISTS |
| Entity Type | Organization |
| Authorized Contact | GHAZWAN F. GHAZI President 617-462-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-01-16 |