Organization
BROUSSEAU & BROUSSEAU PC
Active
Other names
Attleboro Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M BROUSSEAU DMD (PRESIDENT DENTIST)
(508) 222-8838
Entity
Organization
Contact information
Practice address
152 EMORY STREET, ATTLEBORO, MA 02703
(508) 222-8838
(508) 226-8157
Mailing address
152 EMORY STREET, ATTLEBORO, MA 02703
(508) 222-8838
(508) 226-8157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38852
HPILGRIM HC
MA
01
—
622
DELTA DENTAL
MA
Enumeration date
08/04/2006
Last updated
08/22/2020
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