Organization
ATCHESON ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA DAVID ATCHESON DMD (PRESIDENT)
(724) 728-1700
Entity
Organization
Contact information
Practice address
255 3RD ST, BEAVER, PA 15009-2350
(724) 728-1700
(724) 728-1413
Mailing address
255 3RD ST, BEAVER, PA 15009-2350
(724) 728-1700
(724) 728-1413
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-017928-L
PA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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