Organization
ORAL SURGERY CONSULTANTS OF PENNSYLVANIA PC
Active
Other names
Oral surgery consultants of PA PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA P REMENTER (INSURANCE COORDINATOR)
(215) 463-3916
Entity
Organization
Contact information
Practice address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Mailing address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
(215) 463-7616
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030599L
PA
Other
Enumeration date
03/08/2007
Last updated
09/23/2022
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