| NPI | 1053440073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MOLITORIS VP, Reimbursement & Revenue 484-884-0974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: PA 530201) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-11-11 |