| Park Avenue Dental Associates, Inc | |
|
500 Park Ave Revere MA 02151-3324 | |
| (781) 284-1177 | |
| Not Available |
| Full Name | Park Avenue Dental Associates, Inc |
|---|---|
| Speciality | Dentist |
| Location | 500 Park Ave, Revere, Massachusetts |
| Authorized Official Name and Position | Sherry Soleymani (DENTIST/OFFICE MANAGER) |
| Authorized Official Contact | 7812841177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Dental Associates, Inc 500 Park Ave Revere MA 02151-3324 Ph: (781) 284-1177 | Park Avenue Dental Associates, Inc 500 Park Ave Revere MA 02151-3324 Ph: (781) 284-1177 |
| NPI Number | 1215266481 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215266481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19825 (Massachusetts) | Primary |
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