Individual
DR. MARISA G FENOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1749 MASS AVE, CAMBRIDGE, MA 02140
(617) 491-1161
(617) 661-1555
Mailing address
181 CONCORD AVE, CAMBRIDGE, MA 02138
(617) 492-6070
(617) 576-3848
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19525
MA
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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