NPI | 1043255383 |
---|---|
Former Legal Business Name | ORAL SURGERY ASSOCIATES GNB INC |
Entity Type | Organization |
Authorized Contact | PATRICK J FARREN President 508-992-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MA 15595) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2009-03-26 |