Revere Dentistry and Braces LLC
NPI #1154849198 in Revere, Massachusetts
Provider Information
- NPI Number
- 1154849198
- Entity Type
- Organization
- Organization Name
- Revere Dentistry and Braces LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 30, 2017
- Last Updated
- Jun 2, 2020
Practice Location
- Address
- 370 BROADWAY
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-5016
- Phone
- (781) 629-6636
Authorized Official
- Name
- JOANNE TAVANO
- Title
- CHIEF OPERATING OFFICIER
- Phone
- (978) 580-1524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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