Individual
DR. DAN FAIBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
81 SCHOOL ST, BROOKLINE, MA 02446-6201
(617) 731-2329
Mailing address
16 WILLOW ST, QUINCY, MA 02170-2013
(617) 960-6301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858831
MA
Other
Enumeration date
09/30/2020
Last updated
12/13/2022
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