PAUL J FASANO

PROVINCETOWN, MA
NPI1669895603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  12020)
Enumeration Date2014-01-28
Last Update Date2014-01-28
Business Address
-- PAUL J FASANO DDS
49 HARRY KEMP WAY OUTER CAPE HEALTH SERVICES, INC.
PROVINCETOWN, MA 02657
Phone number: 508-487-9395
Mailing Address
-- PAUL J FASANO DDS
PO BOX 1413
WELLFLEET, MA 02667
Phone number: 508-240-0208