Organization
MAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN S. SHAW D.D.S. (PRESIDENT)
(215) 640-0811
Entity
Organization
Contact information
Practice address
1601 WALNUT ST, SUITE 1116, PHILADELPHIA, PA 19102-2944
(215) 640-0811
(215) 640-0912
Mailing address
1601 WALNUT ST, SUITE 1116, PHILADELPHIA, PA 19102-2944
(215) 640-0811
(215) 640-0912
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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