The Dentists at Brinton Lake

NPI #1205019155 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1205019155
Entity Type: Organization
Organization Name: The Dentists at Brinton Lake
Primary Specialty: Dentist
Enumeration Date: Dec 14, 2007
Last Updated: Dec 14, 2007

Practice Location

Address: 145 BRINTON LAKE RD
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342
Phone: (610) 459-9963

Authorized Official

Name: DR. CHARLES MAZZA, DDS
Title: OWNER
Phone: (610) 459-9963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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