Organization
BILL VAGENAS, DMD, LLC
Active
Other names
Vagenas Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VASILIOS VAGENAS DMD (OWNER)
(508) 586-4276
Entity
Organization
Contact information
Practice address
5 TORREY ST, BROCKTON, MA 02301-4832
(508) 586-4276
(508) 513-1403
Mailing address
5 TORREY ST, BROCKTON, MA 02301-4832
(508) 586-4276
(508) 513-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
X18888
MA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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