Matthew R. Fantasia, D.M.D., P.C. Valid NPI

Organization · General Practice Dentistry · Wellesley, MA

NPI

1386995397

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DN 20441 (MA)

Enumerated

2012-10-01

Last updated

2012-10-15