Organization
PAUL A. FUGAZZOTTO,DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY FUGAZZOTTO (OWNER)
(617) 696-7257
Entity
Organization
Contact information
Practice address
25 HIGH ST, SUITE 103, MILTON, MA 02186-3426
(617) 696-7257
(617) 696-6635
Mailing address
25 HIGH ST, SUITE 103, MILTON, MA 02186-3426
(617) 696-7257
(617) 696-6635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14401
MA
122300000X
Dentist
21392
MA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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