Provider Demographics
NPI:1407978299
Name:FILANDRIANOS, ANGELA P (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:P
Last Name:FILANDRIANOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 FORTY ACRES DR
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-2702
Mailing Address - Country:US
Mailing Address - Phone:508-358-5078
Mailing Address - Fax:508-358-2938
Practice Address - Street 1:701 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02458-1260
Practice Address - Country:US
Practice Address - Phone:617-244-4871
Practice Address - Fax:508-358-2938
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA164751223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics