Organization
POCONO CENTER FOR ORAL, FACIAL & IMPLANT SURGERY
Active
Other names
Pocono Oral Maxillofacial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LOUISE ALBERTO DMD (PARTNER)
(570) 491-4145
Entity
Organization
Contact information
Practice address
16 PENNSYLVANIA AVE, MATAMORAS, PA 18336
(570) 491-4145
(570) 491-5119
Mailing address
PO BOX 190, 16 PENNSYLVANIA AVE, MATAMORAS, PA 18336
(570) 491-4145
(570) 491-5119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS035287
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS020813L
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS030426L
PA
Other
Enumeration date
06/14/2007
Last updated
09/01/2016
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