Organization
PA ORAL FACIAL & IMPLANT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA SPOHN (OFFICE MANAGER)
(814) 375-0500
Entity
Organization
Contact information
Practice address
90 BEAVER DR, SUITE 101A, DU BOIS, PA 15801-2440
(814) 375-0500
(814) 375-0124
Mailing address
90 BEAVER DR, SUITE 101A, DU BOIS, PA 15801-2440
(814) 375-0500
(814) 375-0124
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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