Individual
DR. VINCENT P.A. FAILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
976 MAIN ST, WALTHAM, MA 02451-7413
(781) 894-3143
(781) 736-0712
Mailing address
976 MAIN ST, WALTHAM, MA 02451-7413
(781) 894-3143
(781) 736-0712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9980
MA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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