| NPI | 1154331916 |
|---|---|
| Doing Business As | BOSTON UNIVERSITY ORAL SURGERY GROUP |
| Entity Type | Organization |
| Authorized Contact | PUSHKAR MEHRA Chairman 617-638-4352 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-03-14 |