Organization
DJ ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DUGAN (BUSINESS MANAGER)
(484) 809-5167
Entity
Organization
Contact information
Practice address
3611 PERKIOMEN AVE, READING, PA 19606-2712
(610) 401-0559
Mailing address
202 EXTON CMNS, EXTON, PA 19341-2449
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038518
PA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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