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Organization
FACIAL & ORAL SURGERY, LLC.
Active
Organization
FACIAL & ORAL SURGERY, LLC.
Active
Other names
MSL Facial & Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON M CASS (CHIEF OPERATING OFFICER)
(508) 699-9499
Entity
Organization
Contact information
Practice address
17 N WASHINGTON ST, NORTH ATTLEBORO, MA 02760-1605
(508) 699-9499
(508) 699-4217
Mailing address
17 N WASHINGTON ST, NORTH ATTLEBORO, MA 02760-1605
(508) 699-9499
(508) 699-4217
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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