Organization
FACIAL & ORAL SURGERY, LLC
Active
Other names
MSL Facial & Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON CASS (PRACTICE ADMINISTRATOR)
(508) 336-7848
Entity
Organization
Contact information
Practice address
1295 FALL RIVER AVE, SUITE 2, SEEKONK, MA 02771-5931
(508) 336-7848
(508) 336-6580
Mailing address
1295 FALL RIVER AVE, SUITE 2, SEEKONK, MA 02771-5931
(508) 336-7848
(508) 336-6580
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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