Organization
COMMUNITY DENTISTRY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. PERRY JR. DMD (PRESIDENT)
(508) 583-5210
Entity
Organization
Contact information
Practice address
704 N MAIN ST, BROCKTON, MA 02301-2444
(508) 583-5210
Mailing address
PO BOX 7370, 704 N. MAIN STREET, BROCKTON, MA 02303-7370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19737
MA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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