# AUBURN ORAL SURGERY & IMPLANT CENTER

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

## Provider details

- **NPI number:** 1588904742
- **Authorized official:** DR. LAITH AZZOUNI (OWNER)
- **Authorized official phone:** (508) 832-0919

## Contact information

- **Practice address:** 390 SOUTHBRIDGE ST, AUBURN, MA 01501-2456
- **Practice address phone:** (508) 832-0919
- **Practice address fax:** (508) 832-0426
- **Mailing address:** 390 SOUTHBRIDGE ST, AUBURN, MA 01501-2456
- **Mailing address phone:** (508) 832-0919
- **Mailing address fax:** (508) 832-0426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN1855086 | MA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN1856196 | MA | — |

## Other

- **Enumeration date:** 02/26/2013
- **Last updated:** 09/30/2014