| NPI | 1063709897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER KHOURY Periodontist 610-616-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS037420) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |