| NPI | 1225915770 |
|---|---|
| Doing Business As | GREATER BOSTON ORAL SURGERY AND DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Credentialing 612-859-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |