Organization
BRILLIANT SMILES DENTAL GROUP - HAVERTOWN
Active
Other names
Elegant Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AITKEN DDS (OWNER)
(610) 789-9400
Entity
Organization
Contact information
Practice address
301 W CHESTER PIKE, SUITE 202, HAVERTOWN, PA 19083-4530
(610) 789-9400
(610) 789-2841
Mailing address
301 W CHESTER PIKE, SUITE 202, HAVERTOWN, PA 19083-4530
(610) 789-9400
(610) 789-2841
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS035966
PA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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