DR. Michael Moll, DDS

NPI #1700943420 in Revere, Massachusetts

Provider Information

NPI Number: 1700943420
Entity Type: Individual
Name: DR. Michael Moll, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7 FOSTER ST
Address 2: SUITE 1
City: Revere
State: Massachusetts
ZIP Code: 02151-3419
Phone: (781) 289-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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