Organization
ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES
Active
Other names
Commonwealth Oral and Facial Surgery & Dental Implant Center, Oral and Maxillofacial Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER PAUL SPAMPATA D.M.D (OWNER)
(215) 368-8104
Entity
Organization
Contact information
Practice address
2100 N BROAD ST, STE 106, LANSDALE, PA 19446-1052
(215) 368-8104
(215) 368-3711
Mailing address
2100 N BROAD ST, STE 106, LANSDALE, PA 19446-1052
(215) 368-8104
(215) 368-3711
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
07/19/2017
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