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Organization
ORAL AND MAXILLO-FACIAL SURGERY, INC.
Active
Organization
ORAL AND MAXILLO-FACIAL SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD J. HANEY DMD (ORAL SURGEON)
(814) 234-0921
Entity
Organization
Contact information
Practice address
432 ROLLING RIDGE DRIVE, SUITE 2, STATE COLLEGE, PA 16801
(814) 234-0921
(814) 234-6240
Mailing address
432 ROLLING RIDGE DRIVE, SUITE 2, STATE COLLEGE, PA 16801
(814) 234-0921
(814) 234-6240
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DS017187L
PA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
DS024017L
PA
Other
Enumeration date
03/01/2007
Last updated
02/05/2013
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