Individual
DR. NICHOLAS GERALD CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 KNEELAND ST FL 5, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY, BOSTON, MA 02111-1527
(617) 636-6515
(617) 636-6809
Mailing address
1 KNEELAND ST FL 5, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY, BOSTON, MA 02111-1527
(617) 636-6515
(617) 636-6809
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1856408
MA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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