| New England Oral And Facial Surgery | |
|
489 Main St Ste C Groton MA 01450-1282 | |
| (315) 784-6782 | |
| Not Available |
| Full Name | New England Oral And Facial Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 489 Main St Ste C, Groton, Massachusetts |
| Authorized Official Name and Position | Tiffany Kuang (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 5163040250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Oral And Facial Surgery 100 Park Ave Apt 1101 Fort Lee NJ 07024-3828 Ph: () - | New England Oral And Facial Surgery 489 Main St Ste C Groton MA 01450-1282 Ph: (315) 784-6782 |
| NPI Number | 1609470152 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609470152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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