Individual
MRS. JULIA O FAIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
480 ADAMS ST, SUITE 112, MILTON, MA 02186-4914
(617) 823-2111
Mailing address
480 ADAMS ST, SUITE 112, MILTON, MA 02186-4914
(617) 823-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
03723
NH
1223G0001X
General Practice Dentistry
Primary
20485
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203980
—
MA
Enumeration date
03/16/2007
Last updated
07/14/2009
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