South Philadelphia Oral and Maxillofacial Surgery Associates PC
NPI #1952411720 in Philidelphia, Pennsylvania
Provider Information
- NPI Number
- 1952411720
- Entity Type
- Organization
- Organization Name
- South Philadelphia Oral and Maxillofacial Surgery Associates PC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1613 SOUTH BROAD ST
- City
- Philidelphia
- State
- Pennsylvania
- ZIP Code
- 19148
- Phone
- (215) 389-2511
Authorized Official
- Name
- DR. ROBERT MICHAEL WOHAR, DMD
- Title
- PRESIDENT
- Phone
- (215) 389-2511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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