| Advanced Orthodontic Care | |
|
242 N Keswick Ave Glenside PA 19038-4830 | |
| (215) 576-6414 | |
| Not Available |
| Full Name | Advanced Orthodontic Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 242 N Keswick Ave, Glenside, Pennsylvania |
| Authorized Official Name and Position | Benjamin K Azizi (ORTHODONTIST) |
| Authorized Official Contact | 2155766414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Orthodontic Care 242 N Keswick Ave Glenside PA 19038-4830 Ph: (215) 576-6414 | Advanced Orthodontic Care 242 N Keswick Ave Glenside PA 19038-4830 Ph: (215) 576-6414 |
| NPI Number | 1427695931 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 12/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427695931 | NPI | - | NPPES |
| 1881744563 | Other | PA | ORTHODONTICS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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