| NPI | 1003022328 |
|---|---|
| Other Name | 5TH ST DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | PARUL BAROT Owner 215-229-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS020825L) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |