Individual
DR. MARISSA NICOLE FABROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
149 HURLEY AVE, KINGSTON, NY 12401-2811
(845) 237-5053
Mailing address
149 HURLEY AVE, KINGSTON, NY 12401-2811
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063939
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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