# A2Z ORAL SURGERY LLC

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

## Provider details

- **NPI number:** 1396391660
- **Authorized official:** JAANVI BHAGAT (OWNER)
- **Authorized official phone:** (215) 237-1525

## Contact information

- **Practice address:** 201 S EASTON RD, GLENSIDE, PA 19038-4428
- **Practice address phone:** (215) 576-1155
- **Practice address fax:** (215) 886-3821
- **Mailing address:** 201 S EASTON RD, GLENSIDE, PA 19038-4428
- **Mailing address phone:** (215) 576-1155
- **Mailing address fax:** (215) 886-3821

## 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:** 08/13/2019
- **Last updated:** 08/13/2019