| NPI | 1063716611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN F. GALLAGHER Owner 215-242-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS021970L) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |