Organization
UNION ST FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA O FAIGEL DMD (OWNER)
(781) 592-9200
Entity
Organization
Contact information
Practice address
175 UNION ST, LYNN, MA 01901-1310
(781) 592-9200
(781) 592-9250
Mailing address
175 UNION ST, LYNN, MA 01901-1310
(781) 592-9200
(781) 592-9250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20485
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203980
—
MA
Enumeration date
02/15/2008
Last updated
02/15/2008
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