Individual
MRS. FEDERICA ISAIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, TUFTS DENTAL SCHOOL - PERIO, BOSTON, MA 02111
(617) 636-6531
Mailing address
1 KNEELAND ST, TUFTS DENTAL SCHOOL - PERIO, BOSTON, MA 02111
(617) 636-6531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1602PADOVA
ZZ
1223P0300X
Periodontics
Primary
DC12395
MA
Other
Enumeration date
06/17/2014
Last updated
02/09/2015
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