| Brace Busters Llc | |
|
211 Geiger Rd Suite B Philadelphia PA 19115-1009 | |
| (215) 677-0380 | |
| (215) 969-0215 |
| Full Name | Brace Busters Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 211 Geiger Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jason Bresler (OWNER) |
| Authorized Official Contact | 2156770380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brace Busters Llc 211 Geiger Rd Suite B Philadelphia PA 19115-1009 Ph: (215) 677-0380 | Brace Busters Llc 211 Geiger Rd Suite B Philadelphia PA 19115-1009 Ph: (215) 677-0380 |
| NPI Number | 1902208739 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902208739 | NPI | - | NPPES |
| 1029645820001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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