Individual
DR. DANIEL P FANIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7 ALFRED ST, SUITE 125, WOBURN, MA 01801-1976
(781) 933-8380
(781) 933-8381
Mailing address
7 ALFRED ST, SUITE 125, WOBURN, MA 01801-1976
(781) 933-8380
(781) 933-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1855237
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1855237
STATE DENTAL LICENCE
MA
Enumeration date
04/05/2010
Last updated
05/12/2016
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