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ELAINE ELIZABETH BRUHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7130
Mailing address
111 CHESNEY LN, ERDENHEIM, PA 19038-7803

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025032
OH
1223G0001X
General Practice Dentistry
Primary
DS045586
PA

Other

Enumeration date
08/16/2018
Last updated
04/28/2026
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