Individual
DR. JEFFREY LOUIS BENECCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
140 SCHOOL ST, REVERE, MA 02151-3013
(781) 289-0839
Mailing address
42 8TH ST, #2305, CHARLESTOWN, MA 02129-4207
(617) 851-4689
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855233
MA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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