Louis Devito, Jr. Dmd

NPI 1265602791 - Dentist - 122300000X

NPI Details
NPI 1265602791
Enumeration Date 03/12/2008
Last Updated 03/12/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DONNA DONNA
Position OFFICE MANAGER
Phone (781) 289-8080
Fax
Practice Location
385 BROADWAY
REVERE MA, 02151-3033, US
Phone (781) 289-8080
Fax
Business Location
385 BROADWAY
REVERE MA, 02151-3033, US
Phone (781) 289-8080
Fax
Toxanomy
Taxonomy Code 122300000X
License State Massachusetts
License Number 16301
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According to our database, Louis Devito, Jr. Dmd NPI is 1265602791, taxonomy code is 122300000X and license number is 16301, license state is located at Massachusetts. Louis Devito, Jr. Dmd physically located at 385 Broadway, Revere MA, 02151-3033. NPI Number 1033115704 has the healthcare provider type.

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1265602791 NPI number is provided on an as is basis without warranty of any kind. 1265602791 is maintained by the National Plan & Provider Enumeration System. The contents of Louis Devito, Jr. Dmd are for informational purposes only.