Revere Pediatric Dentistry
Revere Pediatric Dentistry is a Pediatric Dentistry in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.
- Licensed in
- MA
- In the registry since
- 2016
Practice location Address checks out
11 Vinal StRevere, MA 02151-5326
Phone: (781) 284-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence DN20603 (MA) |
|---|
Record details
| NPI number | 1912357336 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kamar Baloul — Pediatric Dentist · (781) 284-3113 |
| NPI enumerated | June 16, 2016 |
| Last updated in NPPES | June 16, 2016 |
| Mailing address | 11 Vinal St, Revere, MA 02151-5326 |
Other providers in Revere
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Dr. Jasmin Koleini, DDS
11 Vinal St, Revere, MA 02151-5326 · (781) 284-3113