| NPI | 1124470505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MICHELLE PASCHAL President 215-370-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21837) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |