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Organization
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA
Active
Organization
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA
Active
Other names
Oral Surgery Associates PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D ZAJKOWSKI DDS, MD MBA, FACS (PARTNER/PRACTICE OWNER)
(207) 772-4063
Entity
Organization
Contact information
Practice address
20 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2425
(207) 772-4063
Mailing address
20 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2425
(207) 772-4063
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
11/01/2023
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