| NPI | 1093873606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE GIFFORD TAYLOR President Dentist 610-789-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS021471L) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |