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Mainline Center For Oral & Facial Surgery Ltd
Oral and Maxillofacial Surgery (Dentist) in Paoli, Pennsylvania
NPI 1912951138

Mainline Center For Oral & Facial Surgery Ltd is a Oral and Maxillofacial Surgery (Dentist) based in Paoli, PA and is specialized in Oral and Maxillofacial Surgery. Mainline Center For Oral & Facial Surgery Ltd practices in Paoli, PA. The NPI Number for Mainline Center For Oral & Facial Surgery Ltd is 1912951138 and holds a License No. DS017526L (Pennsylvania).

The current practice location address for Mainline Center For Oral & Facial Surgery Ltd is 21 Industrial Blvd, Paoli, PA and can be reached out via phone at 610-644-6497 and via fax at 610-644-6622.

Location: 21 Industrial Blvd, Paoli, PA, 19301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912951138
Provider Name
Mainline Center For Oral & Facial Surgery Ltd
Credential
Provider Entity Type
Organization
Address
21 Industrial Blvd, Paoli, PA, 19301
Phone Number
610-644-6497
Fax Number
610-644-6622
Provider Enumeration Date
05/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0089457000 01 PA IBC
151610 01 PA HIGHMARK
institution
Provider Business Practice Location Address Details
Address
21 Industrial Blvd
City
Paoli
State
Pennsylvania
Zip
19301
Phone Number
610-644-6497
Fax Number
610-644-6622
person
Provider Business Mailing Address Details
Address
21 Industrial Blvd
City
Paoli
State
Pennsylvania
Zip
19301
Phone Number
610-644-6497
Fax Number
610-644-6622
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS017526L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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