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Individual

MRUGANK SARDHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
907 MAIN ST, BROCKTON, MA 02301-6629
(630) 456-6334
Mailing address
907 MAIN ST, BROCKTON, MA 02301-6629
(508) 588-1400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019029092
IL
122300000X
Dentist
Primary
DN1856486
MA

Other

Enumeration date
06/27/2012
Last updated
01/10/2020
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