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Wyomissing Oral Surgical Assocs, Ltd

Dentist, Oral and Maxillofacial Surgery in Reading, PA. Organization (NPI-2).

NPI number1528024700
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1528024700
Entity type
Organization (NPI-2)
Legal business name
Wyomissing Oral Surgical Assocs, Ltd
Organization subpart
No
Enumeration date
Apr 25, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial SurgeryDS022591LPAYes

Practice location

6 Hearthstone Ct
Suite 301
Reading, PA 19606-3065

Phone 610-370-2300 · Fax 610-370-2303

Mailing address

6 Hearthstone Ct
Suite 301
Reading, PA 19606-3065

Phone 610-370-2300 · Fax 610-370-2303

Authorized official

Arthur F Douglass
Owner
6103702300

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