Organization
JNEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MCGUIRE (MANAGER)
(508) 895-9100
Entity
Organization
Contact information
Practice address
715 CRESCENT ST, BROCKTON, MA 02302-3363
(508) 895-9100
Mailing address
715 CRESCENT ST, BROCKTON, MA 02302-3363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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