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KHRISTY FONTILLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
875 MASSACHUSETTS AVE, SUITE 63, CAMBRIDGE, MA 02139-3067
(617) 868-5500
Mailing address
875 MASSACHUSETTS AVE, SUITE 63, CAMBRIDGE, MA 02139-3067
(617) 868-5500

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856889
MA

Other

Enumeration date
07/18/2014
Last updated
03/13/2016
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