NPI | 1235585969 |
---|---|
Other Name | FANIKOS SALIB DENTAL CARE |
Entity Type | Organization |
Authorized Contact | LAURICE SALIB FANIKOS Owner/Dentist 508-648-3878 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN21751) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1855237) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2016-05-12 |