Organization
CONNECTICUT VALLEY ORAL SURGERY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY EBBIGHAUSEN (ADMINISTRATOR)
(603) 357-3709
Entity
Organization
Contact information
Practice address
272 MAIN ST, KEENE, NH 03431-4122
(603) 357-3709
(603) 352-5722
Mailing address
272 MAIN ST, KEENE, NH 03431-4122
(603) 357-3709
(603) 352-5722
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/07/2015
Last updated
12/15/2022
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