The Dentists At Brinton Lake

NPI 1205019155 - Dentist - 122300000X

NPI Details
NPI 1205019155
Enumeration Date 12/14/2007
Last Updated 12/14/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CHARLES CHARLES
Position OWNER
Phone (610) 459-9963
Fax (610) 459-9966
Practice Location
145 BRINTON LAKE RD
GLEN MILLS PA, 19342, US
Phone (610) 459-9963
Fax (610) 459-9966
Business Location
145 BRINTON LAKE RD
GLEN MILLS PA, 19342, US
Phone (610) 459-9963
Fax (610) 459-9966
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DSO18469L
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According to our database, The Dentists At Brinton Lake NPI is 1205019155, taxonomy code is 122300000X and license number is DSO18469L, license state is located at Pennsylvania. The Dentists At Brinton Lake physically located at 145 Brinton Lake Rd, Glen Mills PA, 19342. NPI Number 1033115704 has the healthcare provider type.

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1205019155 NPI number is provided on an as is basis without warranty of any kind. 1205019155 is maintained by the National Plan & Provider Enumeration System. The contents of The Dentists At Brinton Lake are for informational purposes only.