Brinton Lake Dental Associates, LLC

NPI #1558723494 in Glen Mills, Pennsylvania

Provider Information

NPI Number: 1558723494
Entity Type: Organization
Organization Name: Brinton Lake Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 21, 2016
Last Updated: Mar 21, 2016

Practice Location

Address: 145 BRINTON LAKE RD
Address 2: SUITE 300
City: Glen Mills
State: Pennsylvania
ZIP Code: 19342-1285
Phone: (610) 459-9963

Authorized Official

Name: PAIGE ELIZABETH D'ANGELO
Title: CHIEF OPERATING OFFICER
Phone: (609) 828-8986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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