Organization
MEDELLA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABRINA COOMBS DMD (CO-OWNER/DENTIST)
(508) 588-6964
Entity
Organization
Contact information
Practice address
1034 N MAIN ST, BROCKTON, MA 02301-1534
(508) 588-6964
Mailing address
1034 N MAIN ST, BROCKTON, MA 02301-1534
(508) 588-6964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700282670
—
MA
Enumeration date
12/12/2020
Last updated
12/28/2021
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