Organization
BIOESTHETIC DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V BROGNA DMD,FAGD (OWNER)
(610) 688-4100
Entity
Organization
Contact information
Practice address
227 W LANCASTER AVE, SUITE 201, DEVON, PA 19333-1555
(610) 688-4100
(610) 995-0501
Mailing address
227 W LANCASTER AVE, SUITE 201, DEVON, PA 19333-1555
(610) 688-4100
(610) 995-0501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO27317L
PA
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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