Organization
COMMONWEALTH ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L LECHTENBERG DMD (PRESIDENT)
(617) 492-8700
Entity
Organization
Contact information
Practice address
2353 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1252
(617) 492-8700
(617) 492-0698
Mailing address
2353 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1252
(617) 492-8700
(617) 492-0698
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10823
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
15441
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20462
MA
Other
Enumeration date
07/26/2006
Last updated
11/04/2008
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