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Organization

BRINTON LAKE DENTAL ASSOCIATES, LLC

Active
Other names
Dentists at Brinton Lake
Organization subpart
No

Provider details

NPI number
Authorized official
PAIGE ELIZABETH D'ANGELO (CHIEF OPERATING OFFICER)
(609) 828-8986
Entity
Organization

Contact information

Practice address
145 BRINTON LAKE RD, SUITE 300, GLEN MILLS, PA 19342-1285
(610) 459-9963
(610) 459-8290
Mailing address
145 BRINTON LAKE DRIVE, GLEN MILLS, PA 19342
(610) 459-9663
(610) 459-8290

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027954L
PA

Other

Enumeration date
03/21/2016
Last updated
03/21/2016
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