# CATONSVILLE ORAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Catonsville Oral Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437711983
- **Authorized official:** JENNIFER LOEFFLER (OFFICE MANAGER)
- **Authorized official phone:** (410) 744-4484

## Contact information

- **Practice address:** 405 FREDERICK RD STE 9, CATONSVILLE, MD 21228-4607
- **Practice address phone:** (410) 744-4484
- **Practice address fax:** (410) 665-3235
- **Mailing address:** 405 FREDERICK RD STE 9, CATONSVILLE, MD 21228-4607
- **Mailing address phone:** (410) 744-4484
- **Mailing address fax:** (410) 665-3235

## Taxonomy

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

## Other

- **Enumeration date:** 07/05/2019
- **Last updated:** 07/05/2019