Maxilla LLC
NPI #1942082250 in Collegeville, Pennsylvania
Provider Information
- NPI Number
- 1942082250
- Entity Type
- Organization
- Organization Name
- Maxilla LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PA ORAL SURGERY LTD
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 20, 2023
- Last Updated
- Oct 20, 2023
Practice Location
- Address
- 555 SECOND AVE STE E-100
- City
- Collegeville
- State
- Pennsylvania
- ZIP Code
- 19426-3622
- Phone
- (610) 409-9660
Authorized Official
- Name
- DR. MICHAEL BIANCHI, DDS, FACS
- Title
- PRESIDENT
- Phone
- (610) 527-3110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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