Organization
LANGSTON ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R LANGSTON DDS, MS (OWNER)
(508) 759-4495
Entity
Organization
Contact information
Practice address
114 WATERHOUSE RD, BOURNE, MA 02532-8340
(508) 759-4495
(508) 759-0840
Mailing address
114 WATERHOUSE RD, BOURNE, MA 02532-8340
(508) 759-4495
(508) 759-0840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17624
MA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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