# CUMBERLAND ORAL & MAXILLOFACIAL SURGERY LLC

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

## Provider details

- **NPI number:** 1679762652
- **Authorized official:** JOANIE KLIPSTEIN (MANAGER)
- **Authorized official phone:** (301) 722-3205

## Contact information

- **Practice address:** 1715 FREDERICK ST, CUMBERLAND, MD 21502-1037
- **Practice address phone:** (301) 722-3205
- **Mailing address:** 1715 FREDERICK ST, CUMBERLAND, MD 21502-1037
- **Mailing address phone:** (301) 722-3205

## 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:** 10/16/2007
- **Last updated:** 02/21/2023