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Individual

MR. PETER D CARNICELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

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
1223G0001X
General Practice Dentistry
Primary
12351
MA

Other

Enumeration date
08/20/2007
Last updated
08/20/2007
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