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1912011321
UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES
PHILADELPHIA, PA
NPI
1912011321
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Entity Type
Organization
Authorized Contact
ELIZABETH JOHNSTON
Executive Director
215-662-7583
Organization Subpart ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
Enumeration Date
2006-08-19
Last Update Date
2014-01-06
Business Address
UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES
3400 SPRUCE ST 5 WHITE BUILDING
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-3580
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Mailing Address
UNIVERSITY OF PENN - ORAL SURGERY ASSOCIATES
3624 MARKET ST SUITE 560W
PHILADELPHIA, PA 19104-2614
Phone number: 215-662-2286
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