DR. Laurice Salib Fanikos, M.S., D.M.D.
NPI #1740343854 in Needham, Massachusetts
Provider Information
- NPI Number
- 1740343854
- Entity Type
- Individual
- Name
- DR. Laurice Salib Fanikos, M.S., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- M.S., D.M.D.
- Enumeration Date
- Dec 19, 2006
- Last Updated
- May 12, 2016
Practice Location
- Address
- 905 GREAT PLAIN AVE
- City
- Needham
- State
- Massachusetts
- ZIP Code
- 02492-3031
- Phone
- (781) 343-7447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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