| NPI | 1053950444 |
|---|---|
| Doing Business As | MONTGOMERY EMERGENCY DENTIST LLC |
| Entity Type | Organization |
| Authorized Contact | NICK SHARKOV Manager 215-475-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |