| NPI | 1073752747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN NASE Dr./Owner 215-368-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA 027675) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA 027675) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |