Organization
FIDELITO GABRIEL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDELITO GABRIEL D.M.D. (PRESIDENT)
16177639351
Entity
Organization
Contact information
Practice address
1815 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-2551
(617) 522-7414
(617) 522-1425
Mailing address
5 ANNAPOLIS RD, MILTON, MA 02186-2507
(161) 776-3935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21464
MA
Other
Enumeration date
11/05/2008
Last updated
01/04/2010
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