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Organization
ORAL SURGERY CONSULTANTS OF PENNSYLVANIA PC
Active
Organization
ORAL SURGERY CONSULTANTS OF PENNSYLVANIA PC
Active
Other names
Oral surgery consultants of PA PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA P REMENTER (INSURANCE COORDINATOR)
(215) 463-3916
Entity
Organization
Contact information
Practice address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Mailing address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030599L
PA
Other
Enumeration date
03/08/2007
Last updated
09/23/2022
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