| NPI | 1134330343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BRADEN SHERLY President 609-560-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031086L) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-08-22 |