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 |