Organization
CREATIVE SMILES DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRUGANK M SARDHARA DDS (MANAGER)
(630) 456-6334
Entity
Organization
Contact information
Practice address
907 MAIN ST, BROCKTON, MA 02301-6629
(630) 456-6334
Mailing address
800 PLEASANT ST APT 809, NEW BEDFORD, MA 02740-6128
(630) 456-6334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856486
MA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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