Federico Fabian Lago
Pediatric Dentist
1 Roosevelt Ave
Peabody
, Massachusetts 01960-2200
Federico Fabian Lago
Pediatric Dentist
1 Roosevelt Ave
Peabody
, Massachusetts 01960-2200
(917) 626-1105
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Federico Fabian Lago
- 1005 Trapelo Rd Apt 4
- Waltham, MA
- Zip : 02452-4875
- Phone : (917) 626-1105
Second Address
- Federico Fabian Lago
- 1 Roosevelt Ave
- Peabody, MA
- Zip : 01960-2200
- Phone : (978) 535-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 20795 | MA |
National Provider Identifier
| NPI | 1033326087 |
|---|---|
| Provider Name | Federico Fabian Lago |
| First Address | Waltham, MA 02452-4875 |
| Second Address | Peabody, MA 01960-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.