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Organization

ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROLYN SAWICKI LAMPARD D.D.S. (ORAL AND MAXILLOFACIAL SURGEON)
(814) 946-5060
Entity
Organization

Contact information

Practice address
901 VALLEY VIEW BLVD, ALTOONA, PA 16602-6363
(814) 946-5060
(814) 946-4898
Mailing address
901 VALLEY VIEW BLVD, ALTOONA, PA 16602-6363
(814) 946-5060
(814) 946-4898

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DS031238R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018753130005
PA
Enumeration date
08/29/2008
Last updated
01/27/2016
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