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1053765412
MY DENTAL REVERE PC
SAUGUS, MA
NPI
1053765412
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Entity Type
Organization
Authorized Contact
SRINIVAS DESANEEDI
Owner
740-215-8549
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN22184)
Enumeration Date
2016-04-21
Last Update Date
2016-04-21
Business Address
MY DENTAL REVERE PC
1401 ROCK WOOD DR
SAUGUS, MA 01906-4537
Phone number: 740-215-8549
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Mailing Address
MY DENTAL REVERE PC
1401 ROCK WOOD DR
SAUGUS, MA 01906-4537
Phone number:
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