| Ezzybraces Llc | |
|
130 E Brookhaven Rd Brookhaven PA 19015-2310 | |
| (610) 876-3300 | |
| (610) 876-2042 |
| Full Name | Ezzybraces Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 130 E Brookhaven Rd, Brookhaven, Pennsylvania |
| Authorized Official Name and Position | Amen Dhyllon (MEMBER) |
| Authorized Official Contact | 6108763300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezzybraces Llc 130 E Brookhaven Rd Brookhaven PA 19015-2310 Ph: (610) 876-3300 | Ezzybraces Llc 130 E Brookhaven Rd Brookhaven PA 19015-2310 Ph: (610) 876-3300 |
| NPI Number | 1881084747 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881084747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS038245 (Pennsylvania) | Primary |
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