Organization
WESTERN PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BENTLEJEWSKI (OFFICE MANAGER)
(724) 223-0579
Entity
Organization
Contact information
Practice address
2112 N FRANKLIN DRIVE, SUITE 2, WASHINGTON, PA 15301-1530
(724) 223-0579
Mailing address
2112 N FRANKLIN DR, SUITE 2, WASHINGTON, PA 15301-5892
(724) 223-0579
(724) 223-0597
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030642L
PA
207L00000X
Anesthesiology Physician
DA031589
PA
Other
Enumeration date
06/13/2007
Last updated
12/16/2019
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