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Organization
NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization
NEW ENGLAND ORAL SURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT BEANLAND M.D., D.M.D. (OWNER)
(978) 392-9095
Entity
Organization
Contact information
Practice address
102 SHORE DRIVE, SUITE 205, WORCESTER, MA 01605
(978) 392-9095
Mailing address
270 LITTLETON ROAD, UNIT 1, WESTFORD, MA 01886
(978) 392-9095
(978) 392-9912
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN1855623
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN20791
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN21506
MA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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