| The Dentists At Brinton Lake | |
|
145 Brinton Lake Rd Glen Mills PA 19342 | |
| (610) 459-9963 | |
| (610) 459-9966 |
| Full Name | The Dentists At Brinton Lake |
|---|---|
| Speciality | Dentist |
| Location | 145 Brinton Lake Rd, Glen Mills, Pennsylvania |
| Authorized Official Name and Position | Charles Mazza (OWNER) |
| Authorized Official Contact | 6104599963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentists At Brinton Lake 145 Brinton Lake Rd Glen Mills PA 19342 Ph: (610) 459-9963 | The Dentists At Brinton Lake 145 Brinton Lake Rd Glen Mills PA 19342 Ph: (610) 459-9963 |
| NPI Number | 1205019155 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205019155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DSO18469L (Pennsylvania) | Primary |
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