Provider Demographics
NPI:1003081316
Name:DANO, ARMIDA (DMD)
Entity Type:Individual
Prefix:
First Name:ARMIDA
Middle Name:
Last Name:DANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 OCEAN AVE
Mailing Address - Street 2:SUITE#706
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-2600
Mailing Address - Country:US
Mailing Address - Phone:781-286-1390
Mailing Address - Fax:
Practice Address - Street 1:635 TREMONT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-1201
Practice Address - Country:US
Practice Address - Phone:617-424-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21582122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist