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Organization
LILIANA E. DIFABIO, DMD, PC
Active
Organization
LILIANA E. DIFABIO, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANA ESTHER DIFABIO II DMD (DIRECTOR)
(617) 569-0021
Entity
Organization
Contact information
Practice address
56 BENNINGTON ST, EAST BOSTON, MA 02128-1704
(617) 567-2949
Mailing address
56 BENNINGTON ST, EAST BOSTON, MA 02128-1704
(617) 567-2949
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
17685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273198
—
MA
Enumeration date
10/18/2007
Last updated
10/18/2007
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