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Organization
LUCCA ORAL AND FACIAL SURGERY, LLC
Active
Organization
LUCCA ORAL AND FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO LUCCA D.M.D. (OWNER)
(617) 300-0345
Entity
Organization
Contact information
Practice address
185 DARTMOUTH ST, SUITE 403, BOSTON, MA 02116-5883
(617) 300-0345
(617) 993-6970
Mailing address
185 DARTMOUTH ST, SUITE 403, BOSTON, MA 02116-5883
(617) 300-0345
(617) 993-6970
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN20676
MA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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