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Organization

MICHAEL S AYES DDS AND ASSOCIATES PENNSYLVANIA VI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE DEBRA BAALS (OPERATIONS MANAGER)
(856) 381-7196
Entity
Organization

Contact information

Practice address
70 BUCKWALTER RD STE 309, ROYERSFORD, PA 19468-1846
(484) 369-8629
Mailing address
630 W GERMANTOWN PIKE STE 120, PLYMOUTH MEETING, PA 19462-1074
(484) 455-4550

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0300X
Periodontics

Other

Enumeration date
10/24/2018
Last updated
10/24/2018
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