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Individual

DR. EDWARD HENRY FIDROCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 KNEELAND ST, ROOM 322 A, BOSTON, MA 02111
(617) 643-8070
(617) 643-8122
Mailing address
1 KNEELAND ST, ROOM 322 A, BOSTON, MA 02111
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15917
MA

Other

Enumeration date
12/05/2005
Last updated
11/24/2015
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