Organization
PETER D CARNICELLI DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER D CARNICELLI DMD (DENTIST/OWNER)
(617) 846-1280
Entity
Organization
Contact information
Practice address
185 HERMON ST, WINTHROP, MA 02152-3024
(617) 846-1280
(617) 846-5691
Mailing address
185 HERMON ST, WINTHROP, MA 02152-3024
(617) 846-1280
(617) 846-5691
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
12351
MA
1223P0300X
Periodontics
Primary
12351
MA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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