Individual
MIA W FITZGERALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 CONCORD RD, SUDBURY, MA 01776-2352
(978) 443-6081
(978) 440-9425
Mailing address
PO BOX 380, SUDBURY, MA 01776-0380
(978) 443-6081
(978) 440-9425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19807
MA
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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