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Federico Fabian Lago, DMD
Pediatric Dentist in Peabody, Massachusetts
NPI 1033326087

Federico Fabian Lago is a Pediatric Dentist based in Waltham, MA and is specialized in Pediatric Dentistry. Federico Fabian Lago practices in Peabody, MA and has the professional credentials of DMD. The NPI Number for Federico Fabian Lago is 1033326087 and holds a License No. 20795 (Massachusetts).

The current practice location address for Federico Fabian Lago is 1 Roosevelt Ave, Peabody, MA and can be reached out via phone at 978-535-2500. You can also correspond with Federico Fabian Lago through the mailing address at 1005 TRAPELO RD APT 4, WALTHAM, MA - 02452-4875 (mailing address contact number: 917-626-1105).

Location: 1 Roosevelt Ave, Peabody, MA, 02452-4875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033326087
Provider Name
Federico Fabian Lago
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1 Roosevelt Ave, Peabody, MA, 02452-4875
Phone Number
978-535-2500
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Roosevelt Ave
City
Peabody
State
Massachusetts
Zip
01960-2200
Phone Number
978-535-2500
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Trapelo Rd Apt 4
City
Waltham
State
Massachusetts
Zip
02452-4875
Phone Number
917-626-1105
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
20795 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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