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Organization
SOUTH PHILADELPHIA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
Active
Organization
SOUTH PHILADELPHIA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL WOHAR DMD (PRESIDENT)
(215) 389-2511
Entity
Organization
Contact information
Practice address
1613 SOUTH BROAD ST, PHILIDELPHIA, PA 19148
(215) 389-2511
(215) 389-0334
Mailing address
1613 SOUTH BROAD ST, PHILIDELPHIA, PA 19148
(215) 389-2511
(215) 389-0334
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
08/30/2006
Last updated
08/22/2020
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