| NPI | 1023276656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE COLL Insurance Manager 215-743-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS025205L) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-03-15 |