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Organization

BRAINTREE FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUY NHU PHAM PHARMD (VICE-PRESIDENT, BOARD OF DIRECTOR)
(617) 750-2021
Entity
Organization

Contact information

Practice address
381 WASHINGTON ST, BRAINTREE, MA 02184-4741
(781) 843-0340
Mailing address
381 WASHINGTON ST, BRAINTREE, MA 02184-4741
(781) 843-0340

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA

Other

Enumeration date
08/16/2013
Last updated
08/16/2013
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