Organization
CAPESIDE ORAL&FACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN JAMES LATIMER DDS,MD (OWNER)
(508) 645-6576
Entity
Organization
Contact information
Practice address
362 GIFFORD ST, FALMOUTH, MA 02540-2912
(508) 645-6576
(508) 645-6580
Mailing address
362 GIFFORD ST, FALMOUTH, MA 02540-2912
(508) 645-6576
(508) 645-6580
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855054
MA
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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