# VALLEY ORAL SURGEON, LTD.

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

## Provider details

- **NPI number:** 1922043322
- **Authorized official:** DR. MICHAEL L.. DELROSARIO D.D.S. (OWNER)
- **Authorized official phone:** (814) 536-4675

## Contact information

- **Practice address:** 20 OSBORNE ST, JOHNSTOWN, PA 15905-4128
- **Practice address phone:** (814) 536-4675
- **Practice address fax:** (814) 536-8897
- **Mailing address:** 20 OSBORNE ST, JOHNSTOWN, PA 15905-4128
- **Mailing address phone:** (814) 536-4675
- **Mailing address fax:** (814) 536-8897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS028079L | PA | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/22/2020