NPI | 1073895561 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW E SWENDA President 610-436-4642 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS022304L) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2011-09-12 |
Last Update Date | 2012-03-28 |