MIGUEL D VIDAL

BOSTON, MA
NPI1487613980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: MA  20890)
Enumeration Date2006-03-22
Last Update Date2022-07-21
Business Address
-- MIGUEL D VIDAL DMD
55 FRUIT STREET CPZ 401 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Phone number: 617-726-1076
Mailing Address
-- MIGUEL D VIDAL DMD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287