| NPI | 1730268079 |
|---|---|
| Doing Business As | CHILDREN'S SURGICAL ASSOCIATES LTD - MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | LINDA C FLOCCO Vice Chair Administrator 215-977-9507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2024-04-28 |