# COMMONWEALTH ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES INC.

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

## Provider details

- **NPI number:** 1457375107
- **Authorized official:** DR. EDWARD L LECHTENBERG DMD (PRESIDENT)
- **Authorized official phone:** (617) 492-8700

## Contact information

- **Practice address:** 2353 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1252
- **Practice address phone:** (617) 492-8700
- **Practice address fax:** (617) 492-0698
- **Mailing address:** 2353 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1252
- **Mailing address phone:** (617) 492-8700
- **Mailing address fax:** (617) 492-0698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 10823 | MA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15441 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20462 | MA | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 11/04/2008