Individual
MARCELO BRUYCKER DASILVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 ELM AVE, HYANNIS, MA 02601-5547
(508) 778-0300
(508) 778-8747
Mailing address
720 PITCHERS WAY, #B 21, HYANNIS, MA 02601-6706
(508) 790-2565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7987
MA
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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