Organization
CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY EBBIGHAUSEN (ADMINISTRATOR)
(603) 357-3709
Entity
Organization
Contact information
Practice address
285 HIGH ST, GREENFIELD, MA 01301-2608
(413) 774-2961
(413) 773-3076
Mailing address
285 HIGH ST, GREENFIELD, MA 01301-2608
(413) 774-2961
(413) 773-3076
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
12/15/2022
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