Organization
PMAK CHILDREN'S DENTAL, LLC
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP KNIGHT BRINTON D.D.S. (OWNER)
(646) 592-2320
Entity
Organization
Contact information
Practice address
1517 POND RD, SUITE 201, ALLENTOWN, PA 18104-2253
(610) 395-4800
(610) 395-7080
Mailing address
1517 POND RD, SUITE 201, ALLENTOWN, PA 18104-2253
(610) 395-4800
(610) 395-7080
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025976520008
—
PA
Enumeration date
11/15/2013
Last updated
11/15/2013
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