Gijsbertus Brandse DMD

NPI 1063567410 - Dentist - 1223P0700X

NPI Details
NPI 1063567410
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
181 CONCORD AVE
CAMBRIDGE MA, 02138-2317, US
Phone (617) 492-6070
Fax (617) 576-3848
Business Location
181 CONCORD AVE
CAMBRIDGE MA, 02138-2317, US
Phone (617) 492-6070
Fax (617) 576-3848
Toxanomy
Taxonomy Code 1223P0700X
License State Massachusetts
License Number 19478
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According to our database, Gijsbertus Brandse DMD NPI is 1063567410, taxonomy code is 1223P0700X and license number is 19478, license state is located at Massachusetts. Gijsbertus Brandse DMD physically located at 181 Concord Ave, Cambridge MA, 02138-2317. NPI Number Gijsbertus Brandse DMD has the Individual type.

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1063567410 NPI number is provided on an as is basis without warranty of any kind. 1063567410 is maintained by the National Plan & Provider Enumeration System. The contents of Gijsbertus Brandse DMD are for informational purposes only.