Organization
MICHAEL G. BROUTSAS D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G BROUTSAS DDS (ORAL SURGEON)
(508) 824-7023
Entity
Organization
Contact information
Practice address
54 WINTHROP ST, TAUNTON, MA 02780-4228
(508) 824-7023
(823) 075-7508
Mailing address
54 WINTHROP ST, TAUNTON, MA 02780-4228
(508) 824-7023
(823) 075-7508
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12159
MA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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