Individual
DR. LILIANA ESTHER DIFABIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
56 BENNINGTON ST, BOSTON, MA 02128-1704
(617) 569-0021
(617) 567-2949
Mailing address
56 BENNINGTON ST, BOSTON, MA 02128-1704
(617) 569-0021
(617) 567-2949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273198
—
MA
Enumeration date
05/26/2007
Last updated
07/08/2007
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