Maverick Family Dental PC
NPI #1912058421 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1912058421
- Entity Type
- Organization
- Organization Name
- Maverick Family Dental PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2007
- Last Updated
- Apr 3, 2008
Practice Location
- Address
- 45 MAVERICK SQ
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-2312
- Phone
- (617) 567-3800
Authorized Official
- Name
- JULIA FAIGEL, DMD
- Title
- PRESIDENT
- Phone
- (617) 567-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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