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Organization
ADVANCED ORAL SURGERY, P.C.
Active
Organization
ADVANCED ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHI LE (CREDENTIALING SPECIALIST)
(267) 460-4254
Entity
Organization
Contact information
Practice address
400 N BUCKSTOWN RD, SUITE 2A, LANGHORNE, PA 19047-8310
(215) 750-0200
(215) 646-6166
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6166
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
01/04/2013
Last updated
01/04/2013
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