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Organization

DONNA M. PONTE PEREIRA, DMD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNA MARIE PONTE PEREIRA DMD (PRESIDENT)
(617) 492-7626
Entity
Organization

Contact information

Practice address
826 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1402
(617) 492-7626
(617) 492-7629
Mailing address
825 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1429
(617) 492-7626

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17461
MA

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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