Organization
DR. GABRIELLA BABU
Active
Other names
DR. GABRIELLA BABU
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABIELLA BABU DMD (DENTIST)
(508) 583-3530
Entity
Organization
Contact information
Practice address
839 PLEASANT ST, BROCKTON, MA 02301-3076
(508) 583-3530
(508) 583-7642
Mailing address
839 PLEASANT ST, BROCKTON, MA 02301-3076
(508) 583-3530
(508) 583-7642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19304
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280569
MASSHEALTH
MA
Enumeration date
04/07/2008
Last updated
04/07/2008
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