Organization
BRANDYWINE DENTAL IMPLANTS AND ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M FAMIGLIO DMD (OWNER)
(610) 363-7000
Entity
Organization
Contact information
Practice address
25 DOWLIN FORGE RD, EXTON, PA 19341-1548
(610) 363-7000
Mailing address
25 DOWLIN FORGE RD, EXTON, PA 19341-1548
(610) 363-7000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026077L
PA
Other
Enumeration date
04/23/2007
Last updated
02/04/2016
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