Organization
D. E. BETTENCOURT, O.D., LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ELAINE BETTENCOURT O.D. (PROPRIETOR)
(508) 854-0595
Entity
Organization
Contact information
Practice address
360 W BOYLSTON ST, SUITE 106, WEST BOYLSTON, MA 01583-2365
(508) 854-0595
Mailing address
360 W BOYLSTON ST, SUITE 106, WEST BOYLSTON, MA 01583-2365
(508) 854-0595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3219
MA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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