Organization
MONTCO ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E LUKAS (OFFICE MANAGER)
(610) 489-0525
Entity
Organization
Contact information
Practice address
545 W MAIN ST, SUITE 24, TRAPPE, PA 19426-1981
(610) 489-0525
(610) 489-4720
Mailing address
545 W MAIN ST, SUITE 24, TRAPPE, PA 19426-1981
(610) 489-0525
(610) 489-4720
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS024305
PA
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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