| NPI | 1073646600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL PEDICINO Owner 215-464-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023689-L) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-26 |