Benecchi Dental Group, PLLC
Clinic/Center, Dental in Revere, MA. Organization (NPI-2).
NPI number1982114286
StatusActive
Last updated in NPPESOct 2, 2017
Details
- NPI
- 1982114286
- Entity type
- Organization (NPI-2)
- Legal business name
- Benecchi Dental Group, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2017
- Last updated
- Oct 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DN1855233 | MA | Yes |
Practice location
140 School StRevere, MA 02151-3013
Phone 781-289-0839
Mailing address
140 School StRevere, MA 02151-3013
Phone 781-289-0839
Authorized official
Jeffrey Louis Benecchi
Owner Dentist
7812890839
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