Organization
EAGLES ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SHANK (QUALITY CONTROL MANAGER)
(610) 372-6313
Entity
Organization
Contact information
Practice address
5106 ALLENTOWN PIKE, TEMPLE, PA 19560-1212
(484) 773-1717
(484) 773-1717
Mailing address
1301 PENN AVE, WYOMISSING, PA 19610-2140
(484) 773-1717
(484) 773-1717
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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