Dr.dental of Revere, P.c.

NPI #1518235365 in Revere, Massachusetts

Provider Information

NPI Number: 1518235365
Entity Type: Organization
Organization Name: Dr.dental of Revere, P.c.
Primary Specialty: Dentist
Enumeration Date: Dec 8, 2011
Last Updated: Dec 8, 2011

Practice Location

Address: 339 SQUIRE RD
Address 2: SUITE 150
City: Revere
State: Massachusetts
ZIP Code: 02151-4309
Phone: (781) 286-7510

Authorized Official

Name: MS. RENEE P MCKAIN
Title: MANAGER
Phone: (781) 420-9920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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