Fitzgerald, Mia W
Fitzgerald, Mia W is an individual health care provider with primary practice located at 200 Concord Rd , Sudbury MA 01776-2352. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fitzgerald, Mia W can be contacted via phone (978) 443-6081.Contact Information
Primary practice address
200 Concord Rd
Sudbury MA 01776-2352
Phone: (978) 443-6081
Fax: (978) 440-9425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19807 | Massachusetts |
Profile Details
| NPI number | 1235114679 |
|---|---|
| LBN Legal business name | Fitzgerald, Mia W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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