Premier Oral Surgery And Implantology Pllc | |
209 Harvard St Ste 307 Brookline MA 02446-5005 | |
(617) 468-5110 | |
(617) 468-5111 |
Full Name | Premier Oral Surgery And Implantology Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 209 Harvard St Ste 307, Brookline, Massachusetts |
Authorized Official Name and Position | Chi Young Kim (DDS) |
Authorized Official Contact | 6467844737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Oral Surgery And Implantology Pllc 209 Harvard St Ste 307 Brookline MA 02446-5005 Ph: (617) 468-5110 | Premier Oral Surgery And Implantology Pllc 209 Harvard St Ste 307 Brookline MA 02446-5005 Ph: (617) 468-5110 |
NPI Number | 1972269512 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972269512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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