| Dr Peter A Capodlilupo Dds P.c. | |
|
563 Broadway Ste 21 Everett MA 02149-3749 | |
| (617) 389-4646 | |
| (617) 389-4657 |
| Full Name | Dr Peter A Capodlilupo Dds P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 563 Broadway Ste 21, Everett, Massachusetts |
| Authorized Official Name and Position | Peter A Capodilupo (OWNER) |
| Authorized Official Contact | 6173894646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter A Capodlilupo Dds P.c. 563 Broadway Ste 21 Everett MA 02149-3749 Ph: (617) 389-4646 | Dr Peter A Capodlilupo Dds P.c. 563 Broadway Ste 21 Everett MA 02149-3749 Ph: (617) 389-4646 |
| NPI Number | 1609061886 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609061886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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