MR. Edward Stephen Radivonyk JR., DMD
NPI #1336205699 in Fitchburg, Massachusetts
Provider Information
- NPI Number
- 1336205699
- Entity Type
- Individual
- Name
- MR. Edward Stephen Radivonyk JR., DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 637 MAIN STREET
- City
- Fitchburg
- State
- Massachusetts
- ZIP Code
- 01420-3107
- Phone
- (978) 342-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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