Organization
DAN FORTH DENTAL PC
Active
Other names
Frank A Facella DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK A FACELLA DDS (PRESIDENT)
(508) 872-3598
Entity
Organization
Contact information
Practice address
1671 WORCESTER ROAD, STE 401, FRAMINGHAM, MA 01701
(508) 872-3598
(508) 872-0931
Mailing address
1671 WORCESTER ROAD, STE 401, FRAMINGHAM, MA 01701
(508) 872-3598
(508) 872-0931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14833
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14833
DENTAL
MA
Enumeration date
08/04/2006
Last updated
08/22/2020
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