Individual
DR. NANETTE CANERO DEMONTEVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 MAIN ST, MEDFORD, MA 02155-7112
(781) 391-2440
(781) 391-9620
Mailing address
30 MAIN ST, MEDFORD, MA 02155-7112
(781) 391-2440
(781) 391-9620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270091
—
MA
05
—
9708791
—
MA
Enumeration date
08/22/2006
Last updated
07/08/2007
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