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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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