Organization
PENNDIOS, LLC
Active
Other names
The Oral Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. DACHOWSKI DMD (PRESIDENT)
(215) 938-7860
Entity
Organization
Contact information
Practice address
1650 HUNTINGDON PIKE, SUITE 219, MEADOWBROOK, PA 19046-8004
(215) 938-7860
Mailing address
1650 HUNTINGDON PIKE, SUITE 219, MEADOWBROOK, PA 19046-8004
(215) 938-7860
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DS024726L
PA
Other
Enumeration date
08/20/2009
Last updated
07/28/2022
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