Organization
FAMILY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK FATHI ASSIOUN I DMD, MMSC (OWNER)
(508) 366-7976
Entity
Organization
Contact information
Practice address
57 E MAIN ST STE 108, WESTBOROUGH, MA 01581-1445
(508) 366-7976
Mailing address
57 E MAIN ST STE 108, WESTBOROUGH, MA 01581-1445
(508) 366-7976
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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