| NPI | 1477679157 |
|---|---|
| Doing Business As | MSL FACIAL & ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | GORDON M CASS Chief Operating Officer 508-699-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |