| Richard Fx Spagnuolo Pc | |
|
1048 South St Roslindale MA 02131 | |
| (617) 323-0449 | |
| (617) 323-8913 |
| Full Name | Richard Fx Spagnuolo Pc |
|---|---|
| Speciality | Dentist |
| Location | 1048 South St, Roslindale, Massachusetts |
| Authorized Official Name and Position | Richard F.x. Spagnuolo (OWNER) |
| Authorized Official Contact | 6173230449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Fx Spagnuolo Pc 1048 South St Roslindale MA 02131 Ph: (617) 323-0449 | Richard Fx Spagnuolo Pc 1048 South St Roslindale MA 02131 Ph: (617) 323-0449 |
| NPI Number | 1831205251 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831205251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10672 (Massachusetts) | Primary |
| 122300000X | Dentist | 18240 (Massachusetts) | Secondary |
| 122300000X | Dentist | 20288 (Massachusetts) | Secondary |
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