Individual provider · Type 1 NPI

Kamyar Raiss Giglou

Oral and Maxillofacial Surgery (Dentist) · Peabody, MA

NPI number 1205246972 Active

Practice location

6 Essex Center Dr Ste 112
Peabody, MA 01960

Mailing address

100 E Newton St, G-305
Boston, MA 02118-2308

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN1857854 (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 1205246972

Kamyar Raiss Giglou's National Provider Identifier is 1205246972, issued on May 5, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Peabody, MA. The record was last updated on Jul 27, 2018.