# MAINLINE CENTER FOR ORAL & FACIAL SURGERY LTD

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

## Provider details

- **NPI number:** 1912951138
- **Authorized official:** DR. HENRY M RAMBO DDS (CEO PRESIDENT)
- **Authorized official phone:** (610) 644-6497

## Contact information

- **Practice address:** 21 INDUSTRIAL BLVD, \#100, PAOLI, PA 19301
- **Practice address phone:** (610) 644-6497
- **Practice address fax:** (610) 644-6622
- **Mailing address:** 21 INDUSTRIAL BLVD, \#100, PAOLI, PA 19301
- **Mailing address phone:** (610) 644-6497
- **Mailing address fax:** (610) 644-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS017526L | PA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS023677L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS0277729L | PA | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020