Brookline Oral Surgery Group LLC

NPI #1013366525 in Canton, Massachusetts

Provider Information

NPI Number
1013366525
Entity Type
Organization
Organization Name
Brookline Oral Surgery Group LLC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jun 6, 2016
Last Updated
Jun 6, 2016

Practice Location

Address
500 CHAPMAN ST
Address 2
SUITE 201
City
Canton
ZIP Code
02021-2093
Phone
(617) 731-6060

Authorized Official

Name
RICHARD MILLER, DMD
Title
PRESIDENT
Phone
(617) 921-6292

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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