Organization · Type 2 NPI

Philip D Fantasia JR DDS

General Practice Dentistry · Watertown, MA

NPI number 1518151760 Active

About NPI 1518151760

Philip D Fantasia JR DDS's National Provider Identifier is 1518151760, issued on Aug 30, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Watertown, MA. The record was last updated on Aug 30, 2007.