| NPI | 1063633980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH SUPCZENSKI Partner 610-431-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS021945L) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |