NPI | 1063420990 |
---|---|
Former Legal Business Name | FRANK A FACELLA DDS |
Entity Type | Organization |
Authorized Contact | FRANK A FACELLA President 508-872-3598 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14833) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |