| NPI | 1104935279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BUXBAUM Oral Surgeon 978-667-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 15125) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 20791) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 21506) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-06-09 |