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Donna M. Ponte Pereira, Dmd, LLC

Dentist, Periodontics in Cambridge, MA. Organization (NPI-2).

NPI number1295971992
StatusActive
Last updated in NPPESDec 30, 2008

Details

NPI
1295971992
Entity type
Organization (NPI-2)
Legal business name
Donna M. Ponte Pereira, Dmd, LLC
Organization subpart
No
Enumeration date
Dec 30, 2008
Last updated
Dec 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics17461MAYes

Practice location

826 Cambridge St
Cambridge, MA 02141-1402

Phone 617-492-7626 · Fax 617-492-7629

Mailing address

825 Cambridge St
Cambridge, MA 02141-1429

Phone 617-492-7626

Authorized official

Donna Marie Ponte Pereira
President
6174927626

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