Individual
MARIA VASILAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
107 TOWN HALL SQ, FALMOUTH, MA 02540
(508) 548-2442
Mailing address
107 TOWN HALL SQ, FALMOUTH, MA 02540
(508) 996-6777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857866
MA
1223G0001X
General Practice Dentistry
Primary
DN1857866
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2015
Last updated
05/11/2021
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