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Organization
ORAL SURGERY ASSOCIATES OF THE MAIN LINE
Active
Organization
ORAL SURGERY ASSOCIATES OF THE MAIN LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEONETTI DDS (OWNER)
(610) 716-1714
Entity
Organization
Contact information
Practice address
2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645
(610) 716-1714
Mailing address
2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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