| NPI | 1104123223 |
|---|---|
| Doing Business As | DENTISTS ON THE SQUARE |
| Entity Type | Organization |
| Authorized Contact | ANAND VASIST RAO President 215-567-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA DS031366L) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |