| Nagwa Boutros Fanous, D.m.d.pc | |
|
2 S Main St Milford MA 01757-3250 | |
| (508) 478-0106 | |
| (508) 478-3247 |
| Full Name | Nagwa Boutros Fanous, D.m.d.pc |
|---|---|
| Speciality | Dentist |
| Location | 2 S Main St, Milford, Massachusetts |
| Authorized Official Name and Position | Nagwa Fanous (OWNER) |
| Authorized Official Contact | 5084780106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nagwa Boutros Fanous, D.m.d.pc 2 S Main St Milford MA 01757-3250 Ph: (508) 478-0106 | Nagwa Boutros Fanous, D.m.d.pc 2 S Main St Milford MA 01757-3250 Ph: (508) 478-0106 |
| NPI Number | 1386845709 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386845709 | NPI | - | NPPES |
| 0264091 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MA15660 (Massachusetts) | Primary |
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