Individual
DR. ROBERT A. FAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.M.SC.
Contact information
Practice address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Mailing address
749 MAIN ST, SUITE B, OSTERVILLE, MA 02655-1944
(508) 420-1124
(508) 420-0904
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15238
MA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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