| NPI | 1033158910 |
|---|---|
| Doing Business As | ST. LUKE'S OMS |
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Manager 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-09-13 |