| NPI | 1114245784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P COOPER Owner 215-675-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 019792) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |