# ORAL AND MAXILLOFACIAL SURGERY, INC.

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

## Provider details

- **NPI number:** 1750458451
- **Authorized official:** RICHARD J CATRAMBONE DMD (OWNER)
- **Authorized official phone:** (508) 586-5445

## Contact information

- **Practice address:** 830 OAK ST, SUITE 101W, BROCKTON, MA 02301-1168
- **Practice address phone:** (508) 586-5445
- **Practice address fax:** (508) 586-1736
- **Mailing address:** 830 OAK ST, SUITE 101W, BROCKTON, MA 02301-1168
- **Mailing address phone:** (508) 586-5445
- **Mailing address fax:** (508) 586-1736

## 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:** 11/29/2006
- **Last updated:** 12/05/2012