Grigory Babadustov, DMD

NPI 1548296874 · on the registry since 2006

Practice

Address: 200 Westgate Drive
Ste E135
Brockton, MA 02301
Phone: (508) 583-3840
Organisation at this address: Arch Dental Clinic
Full Service Dental Health P.C.
Mass Optometric Associates, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts