Paul J Fasano, DDS
NPI #1669895603 in Provincetown, Massachusetts
Provider Information
- NPI Number
- 1669895603
- Entity Type
- Individual
- Name
- Paul J Fasano, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 28, 2014
- Last Updated
- Jan 28, 2014
Practice Location
- Address
- 49 HARRY KEMP WAY
- Address 2
- OUTER CAPE HEALTH SERVICES, INC.
- City
- Provincetown
- State
- Massachusetts
- ZIP Code
- 02657
- Phone
- (508) 487-9395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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