| NPI | 1063893535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL SITKOVETSKY Owner/Doctor 215-962-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS038816) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |