Organization
BRILLIANT SMILES DENTAL GROUP - JENKINTOWN LLC
Active
Other names
Abington Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AITKEN DDS (OWNER)
(215) 663-1610
Entity
Organization
Contact information
Practice address
406 HUNTINGDON PIKE, JENKINTOWN, PA 19046-4448
(215) 663-1610
Mailing address
406 HUNTINGDON PIKE, JENKINTOWN, PA 19046-4448
(215) 663-1610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS035966
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
06/05/2017
Last updated
07/21/2022
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