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Kamyar Raiss Giglou
Oral and Maxillofacial Surgery (Dentist) in Peabody, Massachusetts
NPI 1205246972

Kamyar Raiss Giglou is a Oral and Maxillofacial Surgery (Dentist) based in Boston, MA and is specialized in Oral and Maxillofacial Surgery. Kamyar Raiss Giglou practices in Peabody, MA. The NPI Number for Kamyar Raiss Giglou is 1205246972 and holds a License No. DN1857854 (Massachusetts).

The current practice location address for Kamyar Raiss Giglou is 6 Essex Center Dr Ste 112, Peabody, MA and can be reached out via phone at 978-531-1450.

Location: 6 Essex Center Dr Ste 112, Peabody, MA, 02118-2308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205246972
Provider Name
Kamyar Raiss Giglou
Credential
Provider Entity Type
Individual
Gender
Male
Address
6 Essex Center Dr Ste 112, Peabody, MA, 02118-2308
Phone Number
978-531-1450
Fax Number
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6 Essex Center Dr Ste 112
City
Peabody
State
Massachusetts
Zip
01960
Phone Number
978-531-1450
Fax Number
person
Provider Business Mailing Address Details
Address
6 Essex Center Dr Ste 112
City
Peabody
State
Massachusetts
Zip
01960
Phone Number
978-531-1450
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN1857854 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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