Individual
LILIA S FIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
435 NEWBURY STREET, SUITE 219, DANVERS, MA 01923
(978) 762-4455
(978) 762-4466
Mailing address
435 NEWBURY STREET, SUITE 219, DANVERS, MA 01923
(978) 762-4455
(978) 762-4466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17615
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338790
UNITED CONCORDIA
—
01
—
X12094
BCBS OF MASSACHUSETTS
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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