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Individual

JOHN CARL FIASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4000 ANNAPOLIS RD, BALTIMORE, MD 21227-3600
(410) 789-0551
(410) 789-7740
Mailing address
4000 ANNAPOLIS RD, BALTIMORE, MD 21227-3600
(410) 789-0551
(410) 789-7740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6406
MD

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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