American Management Group
Dentist, Oral and Maxillofacial Surgery in Philadelphia, PA. Organization (NPI-2).
NPI number1962942771
StatusActive
Last updated in NPPESFeb 27, 2017
Details
- NPI
- 1962942771
- Entity type
- Organization (NPI-2)
- Legal business name
- American Management Group
- Organization subpart
- No
- Enumeration date
- Feb 27, 2017
- Last updated
- Feb 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DS041050 | PA | Yes |
Practice location
3900 City Avenue Apt W1101Philadelphia, PA 19131
Phone 973-809-5507
Mailing address
3900 City Ave Apt W1101Philadelphia, PA 19131-2963
Phone 973-809-5507
Authorized official
Jeanette Z Robinson
Oral Surgeon
9738095507
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