Organization
MAXILLO FACIAL SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD RUSSELL ROMESBURG DDS (PRES)
(616) 353-1404
Entity
Organization
Contact information
Practice address
3501 W CHESTER PIKE, SUITE 100, NEWTOWN SQUARE, PA 19073-3704
(610) 353-1404
(610) 353-1083
Mailing address
3501 W CHESTER PIKE, SUITE 100, NEWTOWN SQUARE, PA 19073-3704
(610) 353-1404
(610) 353-1083
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-016814-L
PA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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