Eagles Oral Surgery
NPI #1508497579 in Wyomissing, Pennsylvania
Provider Information
- NPI Number
- 1508497579
- Entity Type
- Organization
- Organization Name
- Eagles Oral Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 29, 2020
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 1301 PENN AVE
- City
- Wyomissing
- State
- Pennsylvania
- ZIP Code
- 19610-2140
- Phone
- (484) 773-1717
Authorized Official
- Name
- MEGAN SHANK
- Title
- QUALITY CONTROL MANAGER
- Phone
- (610) 372-6313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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