Individual
DR. KEVIN M BROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
152 EMORY ST, ATTLEBORO, MA 02703-2461
(508) 222-8838
(508) 226-8157
Mailing address
152 EMORY ST, ATTLEBORO, MA 02703-2461
(508) 222-8838
(508) 226-8157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17150
MA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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