Organization · Type 2 NPI

Lucca Oral and Facial Surgery, LLC

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1356794069 Active

Practice location

185 Dartmouth St, Suite 403
Boston, MA 02116-5883

Call (617) 300-0345 Map

Fax (617) 993-6970

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN20676 (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 1356794069

Lucca Oral and Facial Surgery, LLC's National Provider Identifier is 1356794069, issued on Jul 18, 2016. 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 18, 2016.