Organization
MICHAEL P FICOCIELLO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P FICOCIELLO DENTIST (OWNER)
(617) 523-2459
Entity
Organization
Contact information
Practice address
10 TREMONT ST, BOSTON, MA 02108
(617) 523-2459
Mailing address
10 TREMONT ST, BOSTON, MA 02108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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