| NPI | 1033520424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DIECIDUE Chair Of The Dept. Of Oral Surgeon 215-955-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |