| NPI | 1134250517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA P REMENTER Insurance COO Rdinator 215-463-3916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: PA DS030599L) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2022-09-23 |