Philip D Fantasia Jr DDS
Philip D Fantasia Jr DDS is a General Practice Dentistry in Watertown, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
293 Mount Auburn StWatertown, MA 02472-1955
Phone: (617) 923-9446
Fax: (617) 923-4750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 11934 (MA) |
|---|
Record details
| NPI number | 1518151760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Philip Fantasia — Dentist · (617) 923-9446 |
| NPI enumerated | August 30, 2007 |
| Last updated in NPPES | August 30, 2007 |
| Mailing address | 293 Mount Auburn St, Watertown, MA 02472-1955 |
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