Organization · Type 2 NPI
Mofs-Ct Oral Facial Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Old Greenwich, CT
Practice location
1 Boulder Ave
Old Greenwich, CT 06870-1420
Fax (212) 202-6447
Mailing address
6118 Riverdale Ave
Bronx, NY 10471-1009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 9973 (CT) |
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.
About NPI 1861920068
Mofs-Ct Oral Facial Surgery LLC's National Provider Identifier is 1861920068, issued on Jun 1, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Old Greenwich, CT. The record was last updated on Jun 1, 2017.