Organization · Type 2 NPI
Southeast Orthodontics, Inc.
Dental Clinic/Center · Brockton, MA
NPI number
1114095361
Active
Practice location
841 Belmont St
Brockton, MA 02301-5545
Mailing address
841 Belmont Street
Brockton, MA 02030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 19702 (MA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Brockton
About NPI 1114095361
Southeast Orthodontics, Inc.'s National Provider Identifier is 1114095361, issued on Dec 4, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Brockton, MA. The record was last updated on Oct 3, 2016.