Evelyn A Pennacchio DMD

NPI 1083721690 - Dentist - 1223G0001X

NPI Details
NPI 1083721690
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16 PLEASANT ST
REVERE MA, 02151, US
Phone (781) 286-2800
Fax (781) 289-5959
Business Location
16 PLEASANT ST
REVERE MA, 02151, US
Phone (781) 286-2800
Fax (781) 289-5959
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 16540
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According to our database, Dr. Evelyn A Pennacchio DMD NPI is 1083721690, taxonomy code is 1223G0001X and license number is 16540, license state is located at Massachusetts. Evelyn A Pennacchio DMD physically located at 16 Pleasant St, Revere MA, 02151. NPI Number Evelyn A Pennacchio DMD has the Individual type.

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1083721690 NPI number is provided on an as is basis without warranty of any kind. 1083721690 is maintained by the National Plan & Provider Enumeration System. The contents of Evelyn A Pennacchio DMD are for informational purposes only.