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Organization
PRO BRITE DENTAL
Active
Organization
PRO BRITE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUYEN LE TRAB DMD (DENTIST)
(781) 780-5234
Entity
Organization
Contact information
Practice address
948 BROADWAY, EVERETT, MA 02149-3128
(781) 708-5234
Mailing address
948 BROADWAY, EVERETT, MA 02149-3128
(781) 708-5234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855435
MA
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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