Organization
LISA A FAGIOLETTI DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A FAGIOLETTI DMD (OWNER/ DENTIST)
(302) 598-1982
Entity
Organization
Contact information
Practice address
25 W COMMERCE ST, SMYRNA, DE 19977-1463
(302) 598-1982
Mailing address
25 W COMMERCE ST, SMYRNA, DE 19977-1463
(302) 598-1982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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