Organization
DENTAL DREAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY T KLUCK (VP MARKETING / COMPLIANCE)
(920) 838-1649
Entity
Organization
Contact information
Practice address
698 CRESCENT ST, BROCKTON, MA 02302-3360
(508) 583-2256
(508) 583-2977
Mailing address
698 CRESCENT ST, BROCKTON, MA 02302-3360
(508) 583-2256
(508) 583-2977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21815
MA
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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