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Organization

LEBANON ORAL SURGERY GROUP PLLC

Active
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Organization

LEBANON ORAL SURGERY GROUP PLLC

Active
Other names
Balaci Oral and Facial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRE BALACI DMD (OWNER)
(717) 273-6745
Entity
Organization

Contact information

Practice address
860 TUCK ST STE 100, LEBANON, PA 17042-7477
(717) 273-6745
Mailing address
860 TUCK ST STE 100, LEBANON, PA 17042-7477
(717) 273-6745

Taxonomy

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

Other

Enumeration date
05/12/2022
Last updated
05/12/2022
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