| NPI | 1023171303 |
|---|---|
| Doing Business As | GPHA WILSON PARK DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | RONALD HEIGLER CEO 215-925-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-10-02 |