| 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 |