Organization
ANNESE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F ANNESE DMD (OWNER)
(781) 820-5085
Entity
Organization
Contact information
Practice address
106 BROADWAY, REVERE, MA 02151-5305
(781) 284-4058
Mailing address
106 BROADWAY, REVERE, MA 02151-5305
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15464
MA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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