Organization
JURGINA ELEZI DMD LLC
Active
Other names
Revere Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JURGINA ELEZI DMD (OWNER)
(781) 284-4100
Entity
Organization
Contact information
Practice address
7 FOSTER ST STE 1, REVERE, MA 02151-3419
(781) 284-4100
Mailing address
7 FOSTER ST STE 1, REVERE, MA 02151-3419
(781) 284-4100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21646
MA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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