| Bzg Oral And Maxillofacial Surgery Center Llc | |
|
1223 N Providence Rd Media PA 19063-1235 | |
| (610) 566-5555 | |
| Not Available |
| Full Name | Bzg Oral And Maxillofacial Surgery Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1223 N Providence Rd, Media, Pennsylvania |
| Authorized Official Name and Position | Brett Godlewski (DR./ORAL SURGEON) |
| Authorized Official Contact | 4127360861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bzg Oral And Maxillofacial Surgery Center Llc 1223 N Providence Rd Media PA 19063-1235 Ph: () - | Bzg Oral And Maxillofacial Surgery Center Llc 1223 N Providence Rd Media PA 19063-1235 Ph: (610) 566-5555 |
| NPI Number | 1023514403 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 04/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023514403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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