Individual
DR. MICHAEL GEORGE BROUTSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
54 WINTHROP ST, TAUNTON, MA 02780
(508) 824-7023
(508) 823-0757
Mailing address
54 WINTHROP ST, TAUNTON, MA 02780
(508) 824-7023
(508) 823-0757
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12159
MA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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