Organization
BRANDYWINE DENTAL SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE FAY DDS (PRESIDENT)
(610) 459-1344
Entity
Organization
Contact information
Practice address
1731 WILMINGTON PIKE, GLEN MILLS, PA 19342-8169
(610) 459-1344
(610) 459-0310
Mailing address
1731 WILMINGTON PIKE, GLEN MILLS, PA 19342-8169
(610) 459-1344
(610) 459-0310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G10000981
DE
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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