Individual
LOUIS DEVITO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
385 BROADWAY, SUITE 2, REVERE, MA 02151-3033
(781) 289-8080
(781) 286-6860
Mailing address
385 BROADWAY, SUITE 2, REVERE, MA 02151-3033
(781) 289-8080
(781) 286-6860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16301
MA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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