Organization
CHRISTIE AND DRANE FAMILY ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GIBSON (OFFICE MANAGER)
(610) 566-6649
Entity
Organization
Contact information
Practice address
1 CHESLEY DR, MEDIA, PA 19063-1763
(610) 566-6649
(610) 566-6740
Mailing address
1 CHESLEY DR, MEDIA, PA 19063-1763
(610) 566-6649
(610) 566-6740
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871731422
OTHER NIP
PA
Enumeration date
09/21/2022
Last updated
09/21/2022
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