| NPI | 1013056936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 610-259-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI017432) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2019-02-20 |