Organization
BRILLIANT SMILES DENTAL GROUP - POTTSTOWN LLC
Active
Other names
Pottstown Family Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE L AITKEN DDS (PRESIDENT)
(610) 323-1633
Entity
Organization
Contact information
Practice address
728 E HIGH ST, POTTSTOWN, PA 19464-5776
(610) 323-1633
Mailing address
728 E HIGH ST, POTTSTOWN, PA 19464-5776
(610) 323-1633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS035966
PA
Other
Enumeration date
01/27/2008
Last updated
06/12/2009
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