Organization
ROBERT BRILLMAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRILLMAN D.D.S. (OWNER/PRESIDENT)
(610) 521-1111
Entity
Organization
Contact information
Practice address
204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
(610) 521-1111
(610) 521-1122
Mailing address
204 E CHESTER PIKE, RIDLEY PARK, PA 19078-1730
(610) 521-1111
(610) 521-1122
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-018003-L
PA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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