Organization
BENECCHI DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LOUIS BENECCHI DMD (OWNER DENTIST)
(781) 289-0839
Entity
Organization
Contact information
Practice address
140 SCHOOL ST, REVERE, MA 02151-3013
(781) 289-0839
Mailing address
140 SCHOOL ST, REVERE, MA 02151-3013
(781) 289-0839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855233
MA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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