# CINCINNATI ORAL & MAXILLOFACIAL SURG. INC.

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

## Provider details

- **NPI number:** 1194960328
- **Authorized official:** MARY T. BELPERIO (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (513) 451-7300

## Contact information

- **Practice address:** 2852 BOUDINOT AVE, CINTI, OH 45238
- **Practice address phone:** (513) 451-7300
- **Practice address fax:** (513) 347-2382
- **Mailing address:** 2852 BOUDINOT AVE, CINCINNATI, OH 45238
- **Mailing address phone:** (513) 451-7300
- **Mailing address fax:** (513) 347-2382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16069 | OH | Yes |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 12/02/2008
