# BRILLIANT SMILES DENTAL GROUP - HAVERTOWN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elegant Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306220496
- **Authorized official:** MICHELLE AITKEN DDS (OWNER)
- **Authorized official phone:** (610) 789-9400

## Contact information

- **Practice address:** 301 W CHESTER PIKE, SUITE 202, HAVERTOWN, PA 19083-4530
- **Practice address phone:** (610) 789-9400
- **Practice address fax:** (610) 789-2841
- **Mailing address:** 301 W CHESTER PIKE, SUITE 202, HAVERTOWN, PA 19083-4530
- **Mailing address phone:** (610) 789-9400
- **Mailing address fax:** (610) 789-2841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS035966 | PA | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015