| NPI | 1073084695 |
|---|---|
| Other Name | STAR WELLNESS (DENTAL) |
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Supervisor 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |