South Shore Oral Surgery Associates Co. Inc. | |
270 Quincy Ave Quincy MA 02169-8127 | |
(617) 773-9500 | |
(617) 773-2827 |
Full Name | South Shore Oral Surgery Associates Co. Inc. |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 270 Quincy Ave, Quincy, Massachusetts |
Authorized Official Name and Position | David Paul Lustbader (PRESIDENT) |
Authorized Official Contact | 6177739500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Shore Oral Surgery Associates Co. Inc. 270 Quincy Ave Quincy MA 02169-8127 Ph: (617) 773-9500 | South Shore Oral Surgery Associates Co. Inc. 270 Quincy Ave Quincy MA 02169-8127 Ph: (617) 773-9500 |
NPI Number | 1053462358 |
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Provider Enumeration Date | 01/15/2007 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
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1053462358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17663 (Massachusetts) | Primary |
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