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Individual

DR. IAN JAY FESSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1037 BEACON ST # A, BROOKLINE, MA 02446-5656
(617) 232-1575
Mailing address
381 COMMONWEALTH AVE APT 6, BOSTON, MA 02115-1824
(617) 304-3788

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22011
MA

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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