# EXTON ORAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295348258
- **Authorized official:** MRS. JAANVI BHAGAT (OWNER)
- **Authorized official phone:** (215) 237-3335

## Contact information

- **Practice address:** 670 W LINCOLN HWY, EXTON, PA 19341-2514
- **Practice address phone:** (610) 228-2391
- **Mailing address:** 201 S EASTON RD, GLENSIDE, PA 19038-4428
- **Mailing address phone:** (610) 228-2391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 08/28/2020