Individual
SAMANTHA DENOVELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
968 MAIN ST, WAKEFIELD, MA 01880-3989
(781) 549-8390
Mailing address
968 MAIN ST, WAKEFIELD, MA 01880-3989
(781) 549-8390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04750
NH
122300000X
Dentist
Primary
DN9500092
MA
Other
Enumeration date
04/30/2022
Last updated
02/27/2026
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