Provider Demographics
NPI:1821381765
Name:GABRILOWITZ, MARCY (DMD)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:GABRILOWITZ
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 1:213 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-2302
Mailing Address - Country:US
Mailing Address - Phone:978-694-4100
Mailing Address - Fax:978-694-4112
Practice Address - Street 1:213 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2302
Practice Address - Country:US
Practice Address - Phone:978-694-4100
Practice Address - Fax:978-694-4112
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18557051223P0221X
NH038601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry