Organization
NEW HOPE ORAL SURGERY AND IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORY QUIETT (CREDENTIALING SPECIALIST)
(918) 297-8951
Entity
Organization
Contact information
Practice address
6660 OLD YORK RD, NEW HOPE, PA 18938
(267) 714-4407
(267) 714-4507
Mailing address
6660 OLD YORK RD, NEW HOPE, PA 18938
(267) 714-4407
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037527720001
—
PA
Enumeration date
05/05/2020
Last updated
05/05/2020
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