Advanced Oral and Facial Surgery of the Main Line, P.c.

NPI #1306066683 in Devon, Pennsylvania

Provider Information

NPI Number
1306066683
Entity Type
Organization
Organization Name
Advanced Oral and Facial Surgery of the Main Line, P.c.
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Apr 27, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
223 LANCASTER AVENUE
City
Devon
ZIP Code
19333-1583
Phone
(610) 688-6683

Authorized Official

Name
DR. GODFREY JOEL FUNARI, DMD
Title
PRESIDENT
Phone
(610) 688-6683

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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