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Individual

ERIC P HOLMGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ORAL AND FACIAL SURGERY ASSOCIATES, 77 HOSPITAL DRIVE, NORTH ADAMS, MA 01247
(413) 664-4100
Mailing address
77 HOSPITAL AVE, STE 212, NORTH ADAMS, MA 01247-2538
(413) 664-4100

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
016.0002228
VT
122300000X
Dentist
04324
NH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
18361
NH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
227532
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0215929
MA
05
1012894
VT
Enumeration date
08/22/2006
Last updated
07/21/2022
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