All Dental of Revere

NPI #1285005207 in Revere, Massachusetts

Provider Information

NPI Number: 1285005207
Entity Type: Organization
Organization Name: All Dental of Revere
Primary Specialty: Dentist
Enumeration Date: Oct 16, 2015
Last Updated: Oct 16, 2015

Practice Location

Address: 370 BROADWAY
City: Revere
State: Massachusetts
ZIP Code: 02151-5016
Phone: (617) 547-0700

Authorized Official

Name: DR. ANDREY MAZO
Title: PRESIDENT
Phone: (617) 285-6414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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