Individual
PROF. SERGE DIBART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D. D.D.S.
Contact information
Practice address
106 MOUNT AUBURN ST, WATERTOWN, MA 02472-3968
(617) 926-1013
(617) 926-6739
Mailing address
106 MOUNT AUBURN ST, WATERTOWN, MA 02472-3968
(617) 926-1013
(617) 926-6739
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17572
MA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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