Organization
BROCKTON DENTAL GROUP P.C.
Active
Other names
Brockton Family Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GHAZWAN F. GHAZI DMD (PRESIDENT)
(617) 462-3780
Entity
Organization
Contact information
Practice address
231 MAIN ST, SUITE #200, BROCKTON, MA 02301
(508) 588-8338
(508) 583-8339
Mailing address
231 MAIN ST., SUITE #200, BROCKTON, MA 02301
(508) 588-8338
(508) 583-8399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
01/16/2015
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