Pellegrini Family Dentistry, LLC

Clinic/Center, Dental in Duxbury, MA. Organization (NPI-2).

NPI number1699028795

StatusActive

Last updated in NPPESOct 26, 2012

Details

NPI: 1699028795
Entity type: Organization (NPI-2)
Legal business name: Pellegrini Family Dentistry, LLC
Organization subpart: No
Enumeration date: Oct 26, 2012
Last updated: Oct 26, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QD0000X	Clinic/Center, Dental	DN-16053	MA	Yes

Practice location

27 Railroad Ave
Suite 2
Duxbury, MA 02332-3877

Phone 781-934-2311

Mailing address

Po Box 2867
Duxbury, MA 02331-2867

Phone 781-934-2311

Authorized official

David Anthony Pellegrini
Owner
7819342311

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