My Dental Team LLC

NPI #1497059422 in Everett, Massachusetts

Provider Information

NPI Number: 1497059422
Entity Type: Organization
Organization Name: My Dental Team LLC
Primary Specialty: Dentist
Enumeration Date: Jan 5, 2011
Last Updated: Jan 5, 2011

Practice Location

Address: 505 BROADWAY
City: Everett
State: Massachusetts
ZIP Code: 02149-3603
Phone: (617) 387-1120

Authorized Official

Name: MARIANNE HUGHES
Title: MANAGER
Phone: (617) 387-1120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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