Park Avenue Dental Associates, INC

NPI #1215266481 in Revere, Massachusetts

Provider Information

NPI Number: 1215266481
Entity Type: Organization
Organization Name: Park Avenue Dental Associates, INC
Primary Specialty: Dentist
Enumeration Date: Dec 16, 2009
Last Updated: Dec 16, 2009

Practice Location

Address: 500 PARK AVE
City: Revere
State: Massachusetts
ZIP Code: 02151-3324
Phone: (781) 284-1177

Authorized Official

Name: DR. SHERRY SOLEYMANI, DMD
Title: DENTIST/OFFICE MANAGER
Phone: (781) 284-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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