Organization
ORAL SURGERY ASSOCIATES OF THE MAIN LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LEONETTI DDS (OWNER)
(610) 716-1714
Entity
Organization
Contact information
Practice address
2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645
(610) 716-1714
Mailing address
2 INDUSTRIAL BLVD, BLDG 3 SUITE 125, PAOLI, PA 19301-1645
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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