| Paul A. Fugazzotto,dds, Pc | |
|
25 High St Suite 103 Milton MA 02186-3426 | |
| (617) 696-7257 | |
| (617) 696-6635 |
| Full Name | Paul A. Fugazzotto,dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 25 High St, Milton, Massachusetts |
| Authorized Official Name and Position | Paul Anthony Fugazzotto (OWNER) |
| Authorized Official Contact | 6176967257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A. Fugazzotto,dds, Pc 25 High St Suite 103 Milton MA 02186-3426 Ph: (617) 696-7257 | Paul A. Fugazzotto,dds, Pc 25 High St Suite 103 Milton MA 02186-3426 Ph: (617) 696-7257 |
| NPI Number | 1073867529 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073867529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14401 (Massachusetts) | Primary |
| 122300000X | Dentist | 21392 (Massachusetts) | Secondary |
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