Individual
DR. JAMES VINCENT PASTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
25 RAYLEN AVE, PEABODY, MA 01960-2611
(781) 799-9569
Mailing address
25 RAYLEN AVE, PEABODY, MA 01960-2611
(781) 799-9569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857658
MA
1223E0200X
Endodontics
Primary
DN1857658
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2017
Last updated
06/17/2019
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