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Organization
RESTORATIVE DENTAL GROUP OF METRO WEST
Active
Organization
RESTORATIVE DENTAL GROUP OF METRO WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIJSBERTUS BRANDSE D.M.D. (DENTIST)
(508) 650-7641
Entity
Organization
Contact information
Practice address
67 UNION ST, SUITE 104 MEDICAL BUILDING, NATICK, MA 01760-7700
(508) 650-7641
Mailing address
67 UNION ST, SUITE 104 MEDICAL BUILDING, NATICK, MA 01760-7700
(508) 650-7641
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
19478
MA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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