| Brookline Oral Surgery Group Llc | |
|
500 Chapman St Suite 201 Canton MA 02021-2093 | |
| (617) 731-6060 | |
| Not Available |
| Full Name | Brookline Oral Surgery Group Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 500 Chapman St, Canton, Massachusetts |
| Authorized Official Name and Position | Richard Miller (PRESIDENT) |
| Authorized Official Contact | 6179216292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookline Oral Surgery Group Llc 1223 Beacon St Brookline MA 02446-5302 Ph: (617) 731-6060 | Brookline Oral Surgery Group Llc 500 Chapman St Suite 201 Canton MA 02021-2093 Ph: (617) 731-6060 |
| NPI Number | 1013366525 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013366525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20980 (Massachusetts) | Primary |
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