Individual provider · Type 1 NPI

Ghyslain Lessard-Boivin, D.M.D

Oral and Maxillofacial Surgery (Dentist) · Bronx, NY

NPI number 1114180650 Active

Practice location

130 W Kingsbridge Rd
Bronx, NY 10468-3904

Call (718) 584-9000 Map

Mailing address

3855 Orloff Ave Apt 7D
Bronx, NY 10463-2644

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X50 P65355 (NY)

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 1114180650

Ghyslain Lessard-Boivin, D.M.D's National Provider Identifier is 1114180650, issued on Jul 3, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bronx, NY. The record was last updated on Jul 3, 2008.