| NPI | 1033674585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA S BRADY Administrative Assistant 610-363-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |