Individual provider · NPI-1

Maria T. Dibenedetto, DMD

Dentist · Winchester, MA

NPI number1033376934
StatusActive
Last updated in NPPESMay 19, 2008

Details

NPI
1033376934
Entity type
Individual (NPI-1)
Name
Maria T. Dibenedetto
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 19, 2008
Last updated
May 19, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist19197MAYes

Practice location

259 Swanton St
Winchester, MA 01890-4301

Phone 781-721-0400 · Fax 781-721-0466

Mailing address

259 Swanton St
Winchester, MA 01890-4301

Phone 781-721-0400 · Fax 781-721-0466

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