Oralfacial Dental Implant Surgery Center

NPI 1265645618 - Oral & Maxillofacial Surgery - 204E00000X

NPI Details
NPI 1265645618
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT MARTIN ROBERT
Position OWNER
Phone (610) 459-4179
Fax (610) 459-9242
Practice Location
871 BALTIMORE PIKE
UNIT 15
GLEN MILLS PA, 19342, US
Phone (610) 459-4179
Fax (610) 459-9242
Business Location
871 BALTIMORE PIKE
UNIT 15
GLEN MILLS PA, 19342, US
Phone (610) 459-4179
Fax (610) 459-9242
Toxanomy
Taxonomy Code 204E00000X
License State
License Number
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According to our database, Oralfacial Dental Implant Surgery Center NPI is 1265645618, taxonomy code is 204E00000X Oralfacial Dental Implant Surgery Center physically located at 871 Baltimore Pike, Glen Mills PA, 19342. NPI Number 1033115704 has the healthcare provider type.

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1265645618 NPI number is provided on an as is basis without warranty of any kind. 1265645618 is maintained by the National Plan & Provider Enumeration System. The contents of Oralfacial Dental Implant Surgery Center are for informational purposes only.