Organization
LEBANON ORAL SURGERY GROUP PLLC
Active
Other names
Balaci Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRE BALACI DMD (OWNER)
(717) 273-6745
Entity
Organization
Contact information
Practice address
860 TUCK ST STE 100, LEBANON, PA 17042-7477
(717) 273-6745
Mailing address
860 TUCK ST STE 100, LEBANON, PA 17042-7477
(717) 273-6745
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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