| Jaz Ortho PLLC | |
|
108 E Lancaster Ave Unit C3 Wayne PA 19087-4146 | |
| (610) 956-9918 | |
| Not Available |
| Full Name | Jaz Ortho PLLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 108 E Lancaster Ave Unit C3, Wayne, Pennsylvania |
| Authorized Official Name and Position | Aieman Al Kadi Jazaierly (ORTHODONTIST) |
| Authorized Official Contact | 6467043996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaz Ortho PLLC 300 Alexander Ct Apt 110 Philadelphia PA 19103-1156 Ph: (646) 704-3996 | Jaz Ortho PLLC 108 E Lancaster Ave Unit C3 Wayne PA 19087-4146 Ph: (610) 956-9918 |
| NPI Number | 1750031316 |
|---|---|
| Provider Enumeration Date | 03/26/2022 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750031316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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