| NPI | 1124323357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEIXIONG STEPHEN HAO Vice President 610-352-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036164) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2015-06-03 |