NPI | 1063770378 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNAID K CHAUDHRY President 215-637-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029793L) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA DH070997) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2012-04-25 |