PA Oral Facial & Implant Surgery

NPI #1063801397 in Du Bois, Pennsylvania

Provider Information

NPI Number
1063801397
Entity Type
Organization
Organization Name
PA Oral Facial & Implant Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Jan 9, 2015
Last Updated
Jan 9, 2015

Practice Location

Address
90 BEAVER DR
Address 2
SUITE 101A
ZIP Code
15801-2440
Phone
(814) 375-0500

Authorized Official

Name
MRS. BARBARA SPOHN
Title
OFFICE MANAGER
Phone
(814) 375-0500

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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