Doctor Name: | DR. MARIA LILIANA GOMEZ-INFANTE |
NPI Number: | 1124249826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 21546 |
Business Practice Address: | 966c Park St Stoughton, MA - 020723650 |
Business Phone Number: | 7813410030 |
Business Fax Number: | 7813411166 |
Mailing Address: | 300 Matthew Cir Apt 102, BRAINTREE |
State: | MA |
Postal Code: | 021846657 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 21546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |