Organization
ORAL SURGERY ASSOCIATES SOUTHCOAST, INC.
Active
Other names
Oral surgery associates gnb inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J FARREN D.M.D. (PRESIDENT)
(508) 992-3737
Entity
Organization
Contact information
Practice address
81 HAWTHORN ST, NEW BEDFORD, MA 02740-3429
(508) 992-3737
(508) 993-3798
Mailing address
81 HAWTHORN ST, NEW BEDFORD, MA 02740-3429
(508) 992-3737
(508) 993-3798
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
15595
MA
Other
Enumeration date
06/19/2006
Last updated
03/26/2009
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