Individual
JACOB FARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 BOSTON RD, BILLERICA, MA 01821-5316
(978) 362-1970
Mailing address
12948 SERONERA VALLEY CT, SPRING HILL, FL 34610-7667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10000437
MA
Other
Enumeration date
03/10/2023
Last updated
09/13/2024
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