| NPI | 1093075806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ALAN MAGIDA Owner 215-968-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS-023086-L) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2012-05-26 |