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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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