Organization
BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT GODLEWSKI DMD (DR./ORAL SURGEON)
(412) 736-0861
Entity
Organization
Contact information
Practice address
1223 N PROVIDENCE RD, MEDIA, PA 19063-1235
(610) 566-5555
Mailing address
1223 N PROVIDENCE RD, MEDIA, PA 19063-1235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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