Organization
CAMPUS ORAL & MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M. KATCH D.M.D. (PRESIDENT)
(717) 519-5297
Entity
Organization
Contact information
Practice address
1000 ROHRERSTOWN ROAD, LANCASTER, PA 17601-2644
(717) 519-5297
(717) 519-5290
Mailing address
1000 ROHRERSTOWN ROAD, LANCASTER, PA 17601-2644
(717) 519-5297
(717) 519-5290
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016853820001
—
PA
Enumeration date
12/05/2006
Last updated
11/09/2011
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