| NPI | 1144421728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA T MARCHENKO General Dentist 215-671-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029134L) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-12-23 |