Suburban Oral Surgery, PC
NPI #1952356073 in Havertown, Pennsylvania
Provider Information
- NPI Number
- 1952356073
- Entity Type
- Organization
- Organization Name
- Suburban Oral Surgery, PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- May 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2010 W CHESTER PIKE
- Address 2
- SUITE 128
- City
- Havertown
- State
- Pennsylvania
- ZIP Code
- 19083-2700
- Phone
- (610) 449-2100
Authorized Official
- Name
- DR. ALFRED JOHN WOLANIN JR., DDS
- Title
- PRESIDENT
- Phone
- (610) 449-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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