# BRANCA ORAL SURGERY & DENTAL IMPLANT CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831534841
- **Authorized official:** DR. GLENN ANDREW BRANCA D.D.S. (PRESIDENT)
- **Authorized official phone:** (781) 934-1801

## Contact information

- **Practice address:** 104 TREMONT ST, SUITE 5, DUXBURY, MA 02332-4750
- **Practice address phone:** (781) 934-8101
- **Practice address fax:** (781) 934-8187
- **Mailing address:** 104 TREMONT ST, SUITE 5, DUXBURY, MA 02332-4750
- **Mailing address phone:** (781) 934-8101
- **Mailing address fax:** (781) 934-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | MA | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013