| NPI | 1093733883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W. GARRISON Owner Doctor 610-566-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS025610L) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-04-03 |