Individual
CLARA BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 HIGHLAND AVE, MALDEN, MA 02148-3809
(781) 324-4290
Mailing address
72 POWDER HOUSE BLVD APT 3, SOMERVILLE, MA 02144-1303
(919) 741-2370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
04486
NH
1223G0001X
General Practice Dentistry
Primary
DN1858015
MA
Other
Enumeration date
06/09/2018
Last updated
08/22/2019
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