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 |