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7 Everett St #d-e Revere MA 02151-5934 | |
| (978) 664-9944 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7 Everett St, Revere, Massachusetts |
| Authorized Official Name and Position | Li Ting Huang (CO-OWNER) |
| Authorized Official Contact | 9786649944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7 Everett St #d-e Revere MA 02151-5934 Ph: () - | 7 Everett St #d-e Revere MA 02151-5934 Ph: (978) 664-9944 |
| NPI Number | 1720416050 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 10/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720416050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1856210 (Massachusetts) | Primary |
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