| Fanikos Salib Dental Care | |
|
905 Great Plain Ave Needham MA 02492-3031 | |
| (781) 343-7447 | |
| (781) 343-7448 |
| Full Name | Fanikos Salib Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 905 Great Plain Ave, Needham, Massachusetts |
| Authorized Official Name and Position | Laurice Salib Fanikos (OWNER/DENTIST) |
| Authorized Official Contact | 5086483878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fanikos Salib Dental Care 905 Great Plain Ave Needham MA 02492-3031 Ph: (781) 343-7447 | Fanikos Salib Dental Care 905 Great Plain Ave Needham MA 02492-3031 Ph: (781) 343-7447 |
| NPI Number | 1235585969 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235585969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21751 (Massachusetts) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN1855237 (Massachusetts) | Secondary |
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