| NPI | 1023483278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN PATEL Dentist 215-423-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029960L) |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2015-12-13 |