Organization
MARC J. KAHN D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JEFFREY KAHN DMD (OWNER)
(781) 444-4870
Entity
Organization
Contact information
Practice address
1233 HIGHLAND AVE, NEEDHAM, MA 02492-2697
(781) 444-4870
(781) 444-2575
Mailing address
1233 HIGHLAND AVE, NEEDHAM, MA 02492-2697
(781) 444-4870
(781) 444-2575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
014857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11053
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/15/2007
Last updated
10/15/2007
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