| NPI | 1043696875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAMS Consultant 610-619-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA 122300000X) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA 1223G0001X) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-20 |