| Faces & Braces Inc | |
|
301 City Ave Ste 255 Bala Cynwyd PA 19004 | |
| (610) 660-5188 | |
| Not Available |
| Full Name | Faces & Braces Inc |
|---|---|
| Speciality | Dentist |
| Location | 301 City Ave, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Amen Dhyllon (OWNER) |
| Authorized Official Contact | 2136316611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faces & Braces Inc 301 City Ave Ste 255 Bala Cynwyd PA 19004 Ph: (610) 660-5188 | Faces & Braces Inc 301 City Ave Ste 255 Bala Cynwyd PA 19004 Ph: (610) 660-5188 |
| NPI Number | 1477896371 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477896371 | NPI | - | NPPES |
| 102574264 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS038245 (Pennsylvania) | Primary |
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