Organization
EXCELLENCE DENTAL OF MARBLEHEAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVIS MYFTIU DMD (PROVIDER DMD)
(857) 559-3507
Entity
Organization
Contact information
Practice address
11 ATLANTIC AVE FL 2, MARBLEHEAD, MA 01945-5613
(857) 540-8367
Mailing address
11 ATLANTIC AVE FL 2, MARBLEHEAD, MA 01945-5613
(857) 540-8367
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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