Individual
DR. GABRIELLA BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
839 PLEASANT ST, BROCKTON, MA 02301-3076
(508) 583-3530
(508) 583-7642
Mailing address
839 PLEASANT ST, BROCKTON, MA 02301
(508) 583-3530
(508) 583-7642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280569
—
MA
Enumeration date
09/11/2006
Last updated
07/08/2007
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