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1295892297
SRISMITHA MODEM
REVERE, MA
NPI
1295892297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 21334)
Enumeration Date
2007-01-02
Last Update Date
2013-08-20
Business Address
Dr. SRISMITHA MODEM DMD
339 SQUIRE RD SUITE 150
REVERE, MA 02151-4309
Phone number: 781-286-7510
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Mailing Address
Dr. SRISMITHA MODEM DMD
339 SQUIRE RD SUITE 150 DR DENTAL OF REVERE
REVERE, MA 02151
Phone number: 781-286-7510
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