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Organization
ROBERT A. FAIELLA, DMD, MMSC, PC
Active
Organization
ROBERT A. FAIELLA, DMD, MMSC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. FAIELLA D.M.D., M.M.SC. (PRESIDENT)
(508) 420-1124
Entity
Organization
Contact information
Practice address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Mailing address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15238
MA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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