# ORAL SURGERY ASSOCIATES OF THE MAIN LINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073219994
- **Authorized official:** DR. JOSEPH LEONETTI DDS (OWNER)
- **Authorized official phone:** (610) 716-1714

## Contact information

- **Practice address:** 2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645
- **Practice address phone:** (610) 716-1714
- **Mailing address:** 2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2023
- **Last updated:** 02/02/2023