| NPI | 1013332626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DUGAN Business Manager 484-809-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA DS038518) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |