# BIOESTHETIC DENTISTRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013962323
- **Authorized official:** DR. MICHAEL V BROGNA DMD,FAGD (OWNER)
- **Authorized official phone:** (610) 688-4100

## Contact information

- **Practice address:** 227 W LANCASTER AVE, SUITE 201, DEVON, PA 19333-1555
- **Practice address phone:** (610) 688-4100
- **Practice address fax:** (610) 995-0501
- **Mailing address:** 227 W LANCASTER AVE, SUITE 201, DEVON, PA 19333-1555
- **Mailing address phone:** (610) 688-4100
- **Mailing address fax:** (610) 995-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DSO27317L | PA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 08/22/2020