| NPI | 1033622261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI KIDAMBI M Anager 610-876-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS038385) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-06-16 |