# FACES & BRACES INC

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

## Provider details

- **NPI number:** 1477896371
- **Authorized official:** DR. AMEN DHYLLON DDS (OWNER)
- **Authorized official phone:** (213) 631-6611

## Contact information

- **Practice address:** 301 CITY AVE, STE 255, BALA CYNWYD, PA 19004
- **Practice address phone:** (610) 660-5188
- **Mailing address:** 301 CITY AVE, STE 255, BALA CYNWYD, PA 19004
- **Mailing address phone:** (610) 660-5188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS038245 | PA | Yes |

## Other

- **Enumeration date:** 03/29/2013
- **Last updated:** 03/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102574264 | — | PA |
