Organization
FANIKOS SALIB DENTAL ASSOCIATES PC
Active
Other names
Fanikos Salib Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURICE SALIB FANIKOS D.M.D (SECRETARY/TREASURER)
(508) 648-3878
Entity
Organization
Contact information
Practice address
7 ALFRED ST, SUITE 125, WOBURN, MA 01801-1976
(781) 933-8380
(781) 933-8381
Mailing address
12 GINA CIR, FRAMINGHAM, MA 01701-4129
(508) 877-6697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/03/2010
Last updated
05/23/2016
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