Organization
BRANCA ORAL SURGERY & DENTAL IMPLANT CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ANDREW BRANCA D.D.S. (PRESIDENT)
(781) 934-1801
Entity
Organization
Contact information
Practice address
104 TREMONT ST, SUITE 5, DUXBURY, MA 02332-4750
(781) 934-8101
(781) 934-8187
Mailing address
104 TREMONT ST, SUITE 5, DUXBURY, MA 02332-4750
(781) 934-8101
(781) 934-8187
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
MA
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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