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Organization
BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC
Active
Organization
BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT GODLEWSKI DMD (DR./ORAL SURGEON)
(412) 736-0861
Entity
Organization
Contact information
Practice address
1223 N PROVIDENCE RD, MEDIA, PA 19063-1235
(610) 566-5555
Mailing address
1223 N PROVIDENCE RD, MEDIA, PA 19063-1235
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
04/03/2018
Last updated
04/03/2018
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