Organization
ROBERT A. FAIELLA, DMD, MMSC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. FAIELLA D.M.D., M.M.SC. (PRESIDENT)
(508) 420-1124
Entity
Organization
Contact information
Practice address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Mailing address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15238
MA
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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