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Organization
DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC
Active
Organization
DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC
Active
Other names
Montour Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TUNDER (PROVIDER PARTNER)
(412) 788-9333
Entity
Organization
Contact information
Practice address
4955 STEUBENVILLE PIKE STE 361, PITTSBURGH, PA 15205-9604
(412) 788-9333
Mailing address
3500 MAPLE AVE, DALLAS, TX 75219-3906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
NULL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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