Individual provider · Type 1 NPI
Cristobal Alberto Quevedo, DDS
Oral and Maxillofacial Surgery (Dentist) · Boston, MA
NPI number
1073825352
Active
Practice location
761 Harrison Ave Apt 205
Boston, MA 02118-2362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DL10997 (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.
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About NPI 1073825352
Cristobal Alberto Quevedo, DDS's National Provider Identifier is 1073825352, issued on Jul 2, 2010. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Jul 2, 2010.