Individual provider · Type 1 NPI
Marisa G. Fenoglio, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Cambridge, MA
Practice location
1749 Mass Ave
Cambridge, MA 02140
Fax (617) 661-1555
Mailing address
181 Concord Ave
Cambridge, MA 02138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 19525 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1801993407
Marisa G. Fenoglio, DMD's National Provider Identifier is 1801993407, issued on Sep 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cambridge, MA. The record was last updated on Jul 8, 2007.