Organization
CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G. CAMERON DDS (PRESIDENT)
(410) 337-7755
Entity
Organization
Contact information
Practice address
1212 YORK RD, SUITE A201, LUTHERVILLE, MD 21093-6240
(410) 337-7755
(410) 337-7922
Mailing address
1212 YORK RD, SUITE A201, LUTHERVILLE, MD 21093-6240
(410) 337-7755
(410) 337-7922
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1162
MD
Other
Enumeration date
10/25/2005
Last updated
12/17/2008
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