| Maxilla Llc | |
|
555 Second Ave Ste E-100 Collegeville PA 19426-3622 | |
| (610) 409-9660 | |
| Not Available |
| Full Name | Maxilla Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 555 Second Ave Ste E-100, Collegeville, Pennsylvania |
| Authorized Official Name and Position | Michael Bianchi (PRESIDENT) |
| Authorized Official Contact | 6105273110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxilla Llc 26 S Bryn Mawr Ave Bryn Mawr PA 19010-3201 Ph: (610) 527-3110 | Maxilla Llc 555 Second Ave Ste E-100 Collegeville PA 19426-3622 Ph: (610) 409-9660 |
| NPI Number | 1942082250 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942082250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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