Organization
CLASS ONE ORTHODONTIC ASSO LLC
Active
Other names
Faeze Fadiani DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAEZE FADIANI DMD MS (OWNER)
(508) 853-4003
Entity
Organization
Contact information
Practice address
365 BURNCOAT ST, WORCESTER, MA 01606
(508) 853-4003
(508) 854-8305
Mailing address
365 BURNCOAT ST, WORCESTER, MA 01606
(508) 853-4003
(508) 854-8305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14774
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20717
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260398
—
MA
Enumeration date
01/18/2007
Last updated
08/22/2020
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