South Shore Oral Surgery Associates Co. Inc.
NPI #1053462358 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1053462358
- Entity Type
- Organization
- Organization Name
- South Shore Oral Surgery Associates Co. Inc.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 15, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 270 QUINCY AVE
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02169-8127
- Phone
- (617) 773-9500
Authorized Official
- Name
- DR. DAVID PAUL LUSTBADER, D.M.D.
- Title
- PRESIDENT
- Phone
- (617) 773-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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