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Organization
NEW ENGLAND ORAL AND FACIAL SURGERY
Active
Organization
NEW ENGLAND ORAL AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KUANG DMD (ORAL AND MAXILLOFACIAL SURGEON)
(516) 304-0250
Entity
Organization
Contact information
Practice address
489 MAIN ST STE C, GROTON, MA 01450-1282
(315) 784-6782
Mailing address
100 PARK AVE APT 1101, FORT LEE, NJ 07024-3828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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