Organization
PERROTTA DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DONAHUE (OFFICE MANAGER)
(781) 391-2988
Entity
Organization
Contact information
Practice address
84 HIGH ST, SUITE 203, MEDFORD, MA 02155-3844
(781) 391-2988
Mailing address
84 HIGH ST, SUITE 203, MEDFORD, MA 02155-3844
(781) 391-2988
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17410
MA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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