| NPI | 1124442876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMISH PATEL Secretary 610-820-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |