Organization
DONNA M PONTE PEREIRA DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M PONTE PEREIRA (DENTIST)
(617) 492-7626
Entity
Organization
Contact information
Practice address
825 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1429
(617) 492-7626
(617) 492-7629
Mailing address
825 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1429
(617) 492-7626
(617) 492-7629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17461
MA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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