Individual provider · Type 1 NPI
Mario S. Lucca, DMD
Oral and Maxillofacial Surgery (Dentist) · Boston, MA
NPI number
1497923791
Active
Practice location
185 Dartmouth St Ste 403
Boston, MA 02116-5883
Fax (617) 993-6970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 20676 (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 1497923791
Mario S. Lucca, DMD's National Provider Identifier is 1497923791, issued on Feb 20, 2008. 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 Jun 21, 2016.