| Revere Family Dental | |
|
7 Foster St Ste 1 Revere MA 02151-3419 | |
| (781) 284-4100 | |
| Not Available |
| Full Name | Revere Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7 Foster St Ste 1, Revere, Massachusetts |
| Authorized Official Name and Position | Jurgina Elezi (OWNER) |
| Authorized Official Contact | 7812844100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Family Dental 7 Foster St Ste 1 Revere MA 02151-3419 Ph: (781) 284-4100 | Revere Family Dental 7 Foster St Ste 1 Revere MA 02151-3419 Ph: (781) 284-4100 |
| NPI Number | 1386053155 |
|---|---|
| Provider Enumeration Date | 08/06/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386053155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN21646 (Massachusetts) | Primary |
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