Organization
SIRI C STEINLE DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRI C STEINLE DMD CAGS (ORTHODONTIST PRESIDENT OF CORP)
(508) 583-3171
Entity
Organization
Contact information
Practice address
1058 NORTH MAIN ST, BROCKTON, MA 02301
(508) 583-3171
(508) 583-3180
Mailing address
1058 NORTH MAIN ST, BROCKTON, MA 02301
(508) 583-3171
(508) 583-3180
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276197
—
MA
Enumeration date
08/30/2006
Last updated
08/22/2020
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