Organization
ARCH DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANGANAYAKI CHIRUMAMILLA (PRESIDENT)
(214) 336-9767
Entity
Organization
Contact information
Practice address
200 WESTGATE DR, SUITE 2, BROCKTON, MA 02301-1810
(508) 587-5333
Mailing address
200 WESTGATE DR, SUITE 2, BROCKTON, MA 02301-1810
(508) 587-5333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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