Organization · Type 2 NPI
Revere Pediatric Dentistry
Pediatric Dentistry · Revere, MA
NPI number
1912357336
Active
Practice location
11 Vinal St
Revere, MA 02151-5326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN20603 (MA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1912357336
Revere Pediatric Dentistry's National Provider Identifier is 1912357336, issued on Jun 16, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Revere, MA. The record was last updated on Jun 16, 2016.