| Richard Fx Spagnuolo Pc | |
| 
					1048 South St Roslindale MA 02131  | |
| (617) 323-0449 | |
| (617) 323-8913 | 
| Full Name | Richard Fx Spagnuolo Pc | 
|---|---|
| Speciality | Dentist | 
| Location | 1048 South St, Roslindale, Massachusetts | 
| Authorized Official Name and Position | Richard F.x. Spagnuolo (OWNER) | 
| Authorized Official Contact | 6173230449 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richard Fx Spagnuolo Pc 1048 South St Roslindale MA 02131 Ph: (617) 323-0449  | Richard Fx Spagnuolo Pc 1048 South St Roslindale MA 02131 Ph: (617) 323-0449  | 
| NPI Number | 1831205251 | 
|---|---|
| Provider Enumeration Date | 08/21/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831205251 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 18240 (Massachusetts) | Secondary | 
| 122300000X | Dentist | 20288 (Massachusetts) | Secondary | 
| 122300000X | Dentist | 10672 (Massachusetts) | Primary | 
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