PHILIP DOMINIC FANTASIA

WATERTOWN, MA
NPI1871600023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  11934)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. PHILIP DOMINIC FANTASIA DDS
293 MOUNT AUBURN ST
WATERTOWN, MA 02472-1955
Phone number: 617-923-9446
Mailing Address
Dr. PHILIP DOMINIC FANTASIA DDS
293 MOUNT AUBURN ST
WATERTOWN, MA 02472-1955
Phone number: 617-923-9446
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