| Dr.dental Of Revere, P.c. | |
|
339 Squire Rd Suite 150 Revere MA 02151-4309 | |
| (781) 286-7510 | |
| (781) 286-7513 |
| Full Name | Dr.dental Of Revere, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 339 Squire Rd, Revere, Massachusetts |
| Authorized Official Name and Position | Renee P Mckain (MANAGER) |
| Authorized Official Contact | 7814209920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.dental Of Revere, P.c. 339 Squire Rd Suite 150 Revere MA 02151-4309 Ph: (781) 286-7510 | Dr.dental Of Revere, P.c. 339 Squire Rd Suite 150 Revere MA 02151-4309 Ph: (781) 286-7510 |
| NPI Number | 1518235365 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518235365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20485 (Massachusetts) | Primary |
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