Brandywine Dental Services Group | |
1731 Wilmington Pike Glen Mills PA 19342-8169 | |
(610) 459-1344 | |
(610) 459-0310 |
Full Name | Brandywine Dental Services Group |
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Speciality | Dentist - General Practice |
Location | 1731 Wilmington Pike, Glen Mills, Pennsylvania |
Authorized Official Name and Position | Bruce Fay (PRESIDENT) |
Authorized Official Contact | 6104591344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brandywine Dental Services Group 1731 Wilmington Pike Glen Mills PA 19342-8169 Ph: (610) 459-1344 | Brandywine Dental Services Group 1731 Wilmington Pike Glen Mills PA 19342-8169 Ph: (610) 459-1344 |
NPI Number | 1588864631 |
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Provider Enumeration Date | 07/18/2007 |
Last Update Date | 07/18/2007 |
Identifier | Type | State | Issuer |
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1588864631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | G10000981 (Delaware) | Primary |
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