| NPI | 1134716640 |
|---|---|
| Doing Business As | FACIAL COSMETICS & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | STEVEN D NGUYEN Surgeon 413-525-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-04-21 |