| NPI | 1083881387 |
|---|---|
| Doing Business As | MT. AIRY DENTAL PAVILION |
| Entity Type | Organization |
| Authorized Contact | ERIK D. WILLIAMS CEO 215-242-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-027201-L) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |