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Organization
GREATER PHILADELPHIA ORAL SURGERY PC
Active
Organization
GREATER PHILADELPHIA ORAL SURGERY PC
Active
Other names
Mark J. Funt, DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE SCOTT (OFFICE MANAGER)
(215) 379-3382
Entity
Organization
Contact information
Practice address
401 TOWNSHIP LINE ROAD, SUITE 'C', ELKINS PARK, PA 19027
(215) 379-5520
(215) 663-5934
Mailing address
401 TOWNSHIP LINE ROAD, SUITE 'C', ELKINS PARK, PA 19027
(215) 379-5520
(215) 663-5934
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS019726L
PA
Other
Enumeration date
09/20/2006
Last updated
07/24/2024
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