| Center For Cosmetic Facial And Oral Surgery | |
|
209 Harvard St Suite 405 Brookline MA 02446-5005 | |
| (617) 566-8800 | |
| (617) 566-8818 |
| Full Name | Center For Cosmetic Facial And Oral Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 209 Harvard St, Brookline, Massachusetts |
| Authorized Official Name and Position | Paul C Kuo (PRESIDENT) |
| Authorized Official Contact | 6175668800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Cosmetic Facial And Oral Surgery 405 Cochituate Rd Suite 303 Framingham MA 01701-4648 Ph: (508) 424-2525 | Center For Cosmetic Facial And Oral Surgery 209 Harvard St Suite 405 Brookline MA 02446-5005 Ph: (617) 566-8800 |
| NPI Number | 1841413671 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841413671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13487 (Massachusetts) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | 10451 (New Hampshire) | Primary |
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