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Individual

DR. MICHAEL ROCCO PELLEGRINI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
18 MOORE ST, SUITE 100, BELMONT, MA 02478-2525
(617) 484-1034
(617) 484-1248
Mailing address
18 MOORE ST, SUITE 100, BELMONT, MA 02478-2525
(617) 484-1034
(617) 484-1248

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16882
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X11581
BCBS PROVIDER ID
MA
Enumeration date
11/23/2005
Last updated
03/07/2023
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