Organization
PARK AVENUE DENTAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY SOLEYMANI DMD (DENTIST/OFFICE MANAGER)
(781) 284-1177
Entity
Organization
Contact information
Practice address
500 PARK AVE, REVERE, MA 02151-3324
(781) 284-1177
Mailing address
500 PARK AVE, REVERE, MA 02151-3324
(781) 284-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19825
MA
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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