| 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 |