Boston Oral and Facial Surgery, LLC
NPI #1801046438 in Boston, Massachusetts
Provider Information
- NPI Number
- 1801046438
- Entity Type
- Organization
- Organization Name
- Boston Oral and Facial Surgery, LLC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Sep 18, 2008
- Last Updated
- Jan 10, 2009
Practice Location
- Address
- 120 LINCOLN ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02111-2506
- Phone
- (617) 451-2111
Authorized Official
- Name
- DR. PATRICK KIU TAO CHAN, D.M.D.
- Title
- OWNER
- Phone
- (617) 451-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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