Ezzybraces LLC
NPI #1881084747 in Brookhaven, Pennsylvania
Provider Information
- NPI Number
- 1881084747
- Entity Type
- Organization
- Organization Name
- Ezzybraces LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jan 30, 2015
- Last Updated
- Jan 31, 2015
Practice Location
- Address
- 130 E BROOKHAVEN RD
- City
- Brookhaven
- State
- Pennsylvania
- ZIP Code
- 19015-2310
- Phone
- (610) 876-3300
Authorized Official
- Name
- DR. AMEN DHYLLON
- Title
- MEMBER
- Phone
- (610) 876-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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