NPI | 1083105100 |
---|---|
Doing Business As | LEHIGH VALLEY SMILE DESIGNS |
Entity Type | Organization |
Authorized Contact | LINDA SUSAN PETRILLO Administrator 610-868-7601 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018728) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2018-05-24 |