Excel Dental of Revere LLC
NPI #1972353381 in Revere, Massachusetts
Provider Information
- NPI Number
- 1972353381
- Entity Type
- Organization
- Organization Name
- Excel Dental of Revere LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 26, 2024
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 100 SQUIRE RD
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-1302
- Phone
- (781) 757-2488
Authorized Official
- Name
- MR. SAMIR B PATEL, CPA
- Title
- MANAGING DIRECTOR
- Phone
- (781) 757-2488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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