# ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1497808588
- **Authorized official:** CAROL BONAMI (PRACTICE MANAGER)
- **Authorized official phone:** (630) 789-8070

## Contact information

- **Practice address:** 105 E 1ST ST, SUITE 103, HINSDALE, IL 60521-4249
- **Practice address phone:** (630) 789-8070
- **Practice address fax:** (630) 850-7537
- **Mailing address:** 105 E 1ST ST, SUITE 103, HINSDALE, IL 60521-4249
- **Mailing address phone:** (630) 789-8070
- **Mailing address fax:** (630) 850-7537

## 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:** 01/19/2007
- **Last updated:** 08/22/2020