| NPI | 1073860268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HEYDT MCGANN Dentist/Owner 610-383-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS026052L) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |