| NPI | 1083837702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A RUBERT Office Manager 610-275-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS029774L) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-10-09 |