Revere Dental and Orthodontics PC
NPI #1053180208 in Revere, Massachusetts
Provider Information
- NPI Number
- 1053180208
- Entity Type
- Organization
- Organization Name
- Revere Dental and Orthodontics PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 29, 2023
- Last Updated
- Dec 29, 2023
Practice Location
- Address
- 123 REVERE ST
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4439
- Phone
- (617) 275-6306
Authorized Official
- Name
- DR. NEETU BANSAL, DMD
- Title
- OWNER
- Phone
- (617) 275-6306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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