Organization
SALIB FANIKOS DENTAL CARE
Active
Other names
Fanikos Salib Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURICE SALIB FANIKOS D.M.D. (OWNER/DENTIST)
(508) 648-3878
Entity
Organization
Contact information
Practice address
905 GREAT PLAIN AVE, NEEDHAM, MA 02492-3031
(781) 343-7447
(781) 343-7448
Mailing address
905 GREAT PLAIN AVE, NEEDHAM, MA 02492-3031
(781) 343-7447
(781) 343-7448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21751
MA
1223P0221X
Pediatric Dentistry
DN1855237
MA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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