Khristy Fontillas, DMD

NPI #1871900100 in Cambridge, Massachusetts

Provider Information

NPI Number: 1871900100
Entity Type: Individual
Name: Khristy Fontillas, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 18, 2014
Last Updated: Mar 13, 2016

Practice Location

Address: 875 MASSACHUSETTS AVE
Address 2: SUITE 63
City: Cambridge
State: Massachusetts
ZIP Code: 02139-3067
Phone: (617) 868-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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