New England Oral Surgery Associates, LLC
NPI #1053823401 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1053823401
- Entity Type
- Organization
- Organization Name
- New England Oral Surgery Associates, LLC
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Oct 25, 2017
- Last Updated
- Oct 25, 2017
Practice Location
- Address
- 102 SHORE DRIVE
- Address 2
- SUITE 205
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605
- Phone
- (978) 392-9095
Authorized Official
- Name
- DR. DAVID ROBERT BEANLAND, M.D., D.M.D.
- Title
- OWNER
- Phone
- (978) 392-9095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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