Individual
DR. FAI WAH HUGO MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 MANCHESTER AVE, DERRY, NH 03038-1931
(603) 434-1586
Mailing address
4 MANCHESTER AVE, DERRY, NH 03038-1931
(603) 434-1586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35086
TX
122300000X
Dentist
DN1858963
MA
1223G0001X
General Practice Dentistry
35086
TX
1223P0221X
Pediatric Dentistry
Primary
04886
NH
Other
Enumeration date
04/21/2019
Last updated
09/25/2023
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