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 |