| NPI | 1841413671 |
|---|---|
| Doing Business As | CENTER FOR COSMETIC FACIAL AND ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | PAUL C KUO President 617-566-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 13487) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: NH 10451) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |