Individual
MICHELE E SEMONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
104 WHALON ST, FITCHBURG, MA 01420-7128
(978) 345-6919
(978) 345-3770
Mailing address
13 BEXLEY DR, HUDSON, MA 01749-1129
(978) 562-4755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20211
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831242262
OFFICE NPI
MA
Enumeration date
06/14/2007
Last updated
05/22/2015
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