Organization
EXTON ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAANVI BHAGAT (OWNER)
(215) 237-3335
Entity
Organization
Contact information
Practice address
670 W LINCOLN HWY, EXTON, PA 19341-2514
(610) 228-2391
Mailing address
201 S EASTON RD, GLENSIDE, PA 19038-4428
(610) 228-2391
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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