Organization
PAUL E TESONE DDS
Active
Other names
Middlesex Oral Surgery Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL E TESONE DDS (OWNER)
(781) 321-4700
Entity
Organization
Contact information
Practice address
ONE CENTRE STREET, MALDEN, MA 02148
(781) 321-4700
(781) 321-4700
Mailing address
ONE CENTRE STREET, MALDEN, MA 02148
(781) 321-4700
(781) 321-4700
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
11620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280011
—
MA
01
—
V04804
BCBS
MA
01
—
X11109
BCBS
MA
Enumeration date
08/08/2007
Last updated
08/08/2007
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