Nanette Demonteverde, Dmd, Pc | |
30 Main St Medford MA 02155-7112 | |
(781) 391-2440 | |
Not Available |
Full Name | Nanette Demonteverde, Dmd, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 30 Main St, Medford, Massachusetts |
Authorized Official Name and Position | Nanette Canero Demonteverde (PRESIDENT) |
Authorized Official Contact | 7813912440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nanette Demonteverde, Dmd, Pc 30 Main St Medford MA 02155-7112 Ph: (781) 391-2440 | Nanette Demonteverde, Dmd, Pc 30 Main St Medford MA 02155-7112 Ph: (781) 391-2440 |
NPI Number | 1346463973 |
---|---|
Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346463973 | NPI | - | NPPES |
9708791 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 16915 (Massachusetts) | Primary |
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