Individual
DR. MATTHEW R ANNESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
637 WASHINGTON ST, DENTAL DEPARTMENT, BOSTON, MA 02124-3510
(617) 822-4747
Mailing address
111 WILLOW AVE, APT 1, SOMERVILLE, MA 02144-2527
(978) 804-3641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856006
MA
Other
Enumeration date
06/14/2012
Last updated
08/12/2014
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