Organization
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC
Active
Other names
Southeastern Pa Oral Surgery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M SMITH DMD (CHAIRMAN)
(215) 707-7138
Entity
Organization
Contact information
Practice address
2301 E ALLEGHENY AVE STE 206, PHILADELPHIA, PA 19134-4427
(267) 367-5009
(267) 367-5476
Mailing address
100 E LEHIGH AVE, PM2, PHILADELPHIA, PA 19125-1012
(215) 707-7138
(215) 707-5405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
08/13/2020
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