Organization
DR PETER A CAPODLILUPO DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A CAPODILUPO SR. DDS (OWNER)
(617) 389-4646
Entity
Organization
Contact information
Practice address
563 BROADWAY STE 21, EVERETT, MA 02149-3749
(617) 389-4646
(617) 389-4657
Mailing address
563 BROADWAY STE 21, EVERETT, MA 02149-3749
(617) 389-4646
(617) 389-4657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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