NPI | 1093026148 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN ABBATICCHIO Owner 610-691-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038225) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2019-02-20 |