| NPI | 1124423702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE JACQUES BOTES Owner 610-909-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039538) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |