| NPI | 1407908213 |
|---|---|
| Former Legal Business Name | FAEZE FADIANI DMD |
| Entity Type | Organization |
| Authorized Contact | FAEZE FADIANI Owner 508-853-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 14774) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 20717) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |