Organization
EXCEL DENTAL OF REVERE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR B PATEL CPA (MANAGING DIRECTOR)
(781) 757-2488
Entity
Organization
Contact information
Practice address
100 SQUIRE RD, REVERE, MA 02151-1302
(781) 757-2488
(781) 757-2466
Mailing address
6 GIANNA DR, SAUGUS, MA 01906-1987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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