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1942082250
MAXILLA LLC
COLLEGEVILLE, PA
NPI
1942082250
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Entity Type
Organization
Authorized Contact
MICHAEL BIANCHI
President
610-527-3110
Organization Subpart ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
MAXILLA LLC
555 SECOND AVE STE E-100
COLLEGEVILLE, PA 19426-3622
Phone number: 610-409-9660
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Mailing Address
MAXILLA LLC
26 S BRYN MAWR AVE
BRYN MAWR, PA 19010-3201
Phone number: 610-527-3110
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