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Organization

ADVANCED ORAL SURGERY AND IMPLANT CENTER

Active
Parent organization
LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER
Authorized official
COLLEEN GALLAGHER (INSURANCE COORDINATOR)
(484) 821-1357
Entity
Organization

Contact information

Practice address
2571 BAGLYOS CIR STE B23, BETHLEHEM, PA 18020-8051
(484) 821-1357
Mailing address
2571 BAGLYOS CIR STE B23, BETHLEHEM, PA 18020-8051
(484) 821-1357

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
12/24/2018
Last updated
12/24/2018
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