Annese Dmd LLC

NPI #1407393127 in Revere, Massachusetts

Provider Information

NPI Number: 1407393127
Entity Type: Organization
Organization Name: Annese Dmd LLC
Primary Specialty: Dentist
Enumeration Date: Jan 20, 2017
Last Updated: Jan 20, 2017

Practice Location

Address: 106 BROADWAY
City: Revere
State: Massachusetts
ZIP Code: 02151-5305
Phone: (781) 284-4058

Authorized Official

Name: DR. JOHN F ANNESE, DMD
Title: OWNER
Phone: (781) 820-5085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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