| Brilliant Smiles Dental Group - Pottstown Llc | |
|
728 E High St Pottstown PA 19464-5776 | |
| (610) 323-1633 | |
| Not Available |
| Full Name | Brilliant Smiles Dental Group - Pottstown Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 728 E High St, Pottstown, Pennsylvania |
| Authorized Official Name and Position | Michelle L Aitken (PRESIDENT) |
| Authorized Official Contact | 6103231633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smiles Dental Group - Pottstown Llc 728 E High St Pottstown PA 19464-5776 Ph: (610) 323-1633 | Brilliant Smiles Dental Group - Pottstown Llc 728 E High St Pottstown PA 19464-5776 Ph: (610) 323-1633 |
| NPI Number | 1285811760 |
|---|---|
| Provider Enumeration Date | 01/27/2008 |
| Last Update Date | 06/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285811760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS035966 (Pennsylvania) | Primary |
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