Individual provider · Type 1 NPI
Shibly D. Malouf Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Somerville, MA
Practice location
366 Broadway, Suite 100
Somerville, MA 02145-2812
Fax (617) 628-2370
Mailing address
366 Broadway Suite 100
Somerville, MA 02145-2812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9637 (MA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1053489682
Shibly D. Malouf Jr., DDS's National Provider Identifier is 1053489682, issued on Dec 1, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Somerville, MA. The record was last updated on Jul 8, 2007.