Philip A Struzziero
Dentist in Braintree, MA. Organization (NPI-2).
NPI number1700949385
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1700949385
- Entity type
- Organization (NPI-2)
- Legal business name
- Philip A Struzziero
- Organization subpart
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN129181 | MA | Yes |
Practice location
575 Washington StSuite 152
Braintree, MA 02184-5620
Phone 781-356-8111 · Fax 781-356-9036
Mailing address
575 Washington StSuite 152
Braintree, MA 02184-5620
Phone 781-356-8111 · Fax 781-356-9036
Authorized official
Philip A Struzziero
Owner
7813568111
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