Individual
AMEN DHYLLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 E CITY LINE AVE, SUITE G3, BALA CYNWYD, PA 19004-1708
(610) 660-9510
(610) 660-9512
Mailing address
401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
(215) 550-7186
(215) 646-6369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS038245
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038245
PA
Other
Enumeration date
10/22/2010
Last updated
03/22/2018
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