Spark Oral Surgery Pa, Pllc | |
330 Laurel Mall Hazle Township PA 18202-1205 | |
(610) 223-7777 | |
Not Available |
Full Name | Spark Oral Surgery Pa, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 330 Laurel Mall, Hazle Township, Pennsylvania |
Authorized Official Name and Position | Phi Le (GENERAL COUNSEL) |
Authorized Official Contact | 2675752321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spark Oral Surgery Pa, Pllc 300 Willowbrook Ln Ste 330 West Chester PA 19382-5594 Ph: () - | Spark Oral Surgery Pa, Pllc 330 Laurel Mall Hazle Township PA 18202-1205 Ph: (610) 223-7777 |
NPI Number | 1316728652 |
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Provider Enumeration Date | 10/12/2023 |
Last Update Date | 08/15/2024 |
Identifier | Type | State | Issuer |
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1316728652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |