Organization
CHESTER COUNTY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SMITH (CFO)
(770) 231-5348
Entity
Organization
Contact information
Practice address
105 DOWLIN FORGE RD, EXTON, PA 19341-1550
(610) 363-2100
(610) 363-2120
Mailing address
342 N MAIN ST, STE 200, ALPHARETTA, GA 30009-8376
(770) 744-4581
(678) 550-5490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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