| NPI | 1003088469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLY JACOB Owner / President 215-763-7985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS030002L) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |