| NPI | 1134299258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ROBERT SIEGEL Dentist Orthodontist 215-295-0208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA DS016541L) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22D100847500) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NY 0310191) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |