| NPI | 1033274576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN G SCOTT Dentist 215-885-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DSO27056L) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-01-19 |