City Dental LLC

NPI #1467721969 in Everett, Massachusetts

Provider Information

NPI Number: 1467721969
Entity Type: Organization
Organization Name: City Dental LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CITY DENTAL LLC
Primary Specialty: Dentist
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 439 BROADWAY
City: Everett
State: Massachusetts
ZIP Code: 02149-3612
Phone: (617) 944-9627

Authorized Official

Name: CIELITO DE AYALA
Title: OFFICE MANAGER
Phone: (401) 942-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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