Organization
DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC
Active
Other names
Montour Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE TUNDER (PROVIDER PARTNER)
(412) 788-9333
Entity
Organization
Contact information
Practice address
4955 STEUBENVILLE PIKE STE 361, PITTSBURGH, PA 15205-9604
(412) 788-9333
Mailing address
3500 MAPLE AVE, DALLAS, TX 75219-3906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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