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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