| Lucca Oral And Facial Surgery, Llc | |
|
185 Dartmouth St Suite 403 Boston MA 02116-5883 | |
| (617) 300-0345 | |
| (617) 993-6970 |
| Full Name | Lucca Oral And Facial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 185 Dartmouth St, Boston, Massachusetts |
| Authorized Official Name and Position | Mario Lucca (OWNER) |
| Authorized Official Contact | 6173000345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucca Oral And Facial Surgery, Llc 185 Dartmouth St Suite 403 Boston MA 02116-5883 Ph: (617) 300-0345 | Lucca Oral And Facial Surgery, Llc 185 Dartmouth St Suite 403 Boston MA 02116-5883 Ph: (617) 300-0345 |
| NPI Number | 1356794069 |
|---|---|
| Provider Enumeration Date | 07/18/2016 |
| Last Update Date | 07/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356794069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN20676 (Massachusetts) | Primary |
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