Organization
GREATER PHILADELPHIA ORAL SURGERY PC
Active
Other names
Mark J. Funt, DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE SCOTT (OFFICE MANAGER)
(215) 379-3382
Entity
Organization
Contact information
Practice address
401 TOWNSHIP LINE ROAD, SUITE 'C', ELKINS PARK, PA 19027
(215) 379-5520
(215) 663-5934
Mailing address
401 TOWNSHIP LINE ROAD, SUITE 'C', ELKINS PARK, PA 19027
(215) 379-5520
(215) 663-5934
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS019726L
PA
Other
Enumeration date
09/20/2006
Last updated
07/24/2024
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