Jaz Ortho Pllc | |
108 E Lancaster Ave Unit C3 Wayne PA 19087-4146 | |
(610) 956-9918 | |
Not Available |
Full Name | Jaz Ortho Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 108 E Lancaster Ave Unit C3, Wayne, Pennsylvania |
Authorized Official Name and Position | Aieman Al Kadi Jazaierly (ORTHODONTIST) |
Authorized Official Contact | 6467043996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jaz Ortho Pllc 300 Alexander Ct Apt 110 Philadelphia PA 19103-1156 Ph: (646) 704-3996 | Jaz Ortho Pllc 108 E Lancaster Ave Unit C3 Wayne PA 19087-4146 Ph: (610) 956-9918 |
NPI Number | 1750031316 |
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Provider Enumeration Date | 03/26/2022 |
Last Update Date | 02/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750031316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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