Organization
FACES & BRACES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMEN DHYLLON DDS (OWNER)
(213) 631-6611
Entity
Organization
Contact information
Practice address
301 CITY AVE, STE 255, BALA CYNWYD, PA 19004
(610) 660-5188
Mailing address
301 CITY AVE, STE 255, BALA CYNWYD, PA 19004
(610) 660-5188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102574264
—
PA
Enumeration date
03/29/2013
Last updated
03/29/2013
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