Cornerstone Oral & Maxillofacial Surgery, LLC
Clinic/Center, Oral and Maxillofacial Surgery in Westminster, MD. Organization (NPI-2).
NPI number1760633663
StatusActive
Last updated in NPPESSep 18, 2015
Details
- NPI
- 1760633663
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Oral & Maxillofacial Surgery, LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2008
- Last updated
- Sep 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | 13760 | MD | Yes |
Practice location
1130 Baltimore BlvdUnit C-1
Westminster, MD 21157-7098
Phone 410-982-0650 · Fax 410-982-0655
Mailing address
1130 Baltimore BlvdUnit C-1
Westminster, MD 21157-7098
Phone 410-982-0650 · Fax 410-982-0655
Authorized official
Jennifer N Forshey
Owner/Surgeon
2405298863
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