Individual
ROSS HARRISON FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 KNEELAND STREET, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE - OMS DEPT., BOSTON, MA 02111
(617) 636-6516
Mailing address
1 KNEELAND STREET, TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE - OMS DEPT., BOSTON, MA 02111
(617) 636-6516
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856540
MA
Other
Enumeration date
06/02/2014
Last updated
08/03/2014
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