| NPI | 1053513424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN J APOLLON President 215-750-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA 17060) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2014-01-13 |