Individual
PALLAVI DAHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
70 WESTGATE DR, BROCKTON, MA 02301-1811
(508) 588-8090
Mailing address
70 WESTGATE DR, BROCKTON, MA 02301-1811
(508) 588-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857053
MA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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