| NPI | 1093111031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKLESHKUMAR I. PATEL President 215-454-6638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS039670) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2015-11-05 |