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1033326087
FEDERICO FABIAN LAGO
PEABODY, MA
NPI
1033326087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: MA 20795)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- FEDERICO FABIAN LAGO D.M.D.
1 ROOSEVELT AVE
PEABODY, MA 01960-2200
Phone number: 978-535-2500
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Mailing Address
-- FEDERICO FABIAN LAGO D.M.D.
1005 TRAPELO RD APT 4
WALTHAM, MA 02452-4875
Phone number: 917-626-1105
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