Individual
DR. ALECSANDER NICOLAS DE FABRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
35 LOMASNEY WAY APT 1411, BOSTON, MA 02114-1551
(561) 676-0779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000000000000
MD
Other
Enumeration date
06/20/2022
Last updated
06/24/2022
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