NPI | 1033562251 |
---|---|
Doing Business As | MORTON FAMILY DENTAL OF BERWYN |
Entity Type | Organization |
Authorized Contact | MARIO SERRANO Dentist 708-512-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027920) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030562) |
1223G0001X Dentist, General Practice (Licence: IL 019029219) | |
Enumeration Date | 2016-07-22 |
Last Update Date | 2016-07-22 |