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Organization
WYOMING VALLEY ORAL SURGERY PLLC
Active
Organization
WYOMING VALLEY ORAL SURGERY PLLC
Active
Other names
Callahan and Bergey Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MITCHELL DDS (OWNER)
(570) 288-9070
Entity
Organization
Contact information
Practice address
550 3RD AVE STE 1, KINGSTON, PA 18704-5806
(570) 288-9070
(570) 288-4201
Mailing address
550 3RD AVE STE 1, KINGSTON, PA 18704-5806
(570) 288-9070
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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