| Annese Dmd Llc | |
|
106 Broadway Revere MA 02151-5305 | |
| (781) 284-4058 | |
| Not Available |
| Full Name | Annese Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 106 Broadway, Revere, Massachusetts |
| Authorized Official Name and Position | John F Annese (OWNER) |
| Authorized Official Contact | 7818205085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annese Dmd Llc 106 Broadway Revere MA 02151-5305 Ph: () - | Annese Dmd Llc 106 Broadway Revere MA 02151-5305 Ph: (781) 284-4058 |
| NPI Number | 1407393127 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407393127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15464 (Massachusetts) | Primary |
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