Organization
SUSAN E FITZGERALD DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E FITZGERALD DMD (SOLE MEMBER,OWNER)
(781) 942-1622
Entity
Organization
Contact information
Practice address
246 WOBURN ST, READING, MA 01867
(781) 942-1622
(781) 942-7111
Mailing address
246 WOBURN ST, READING, MA 01867
(781) 942-1622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16226
MA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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