| NPI | 1144431065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNANN MASTAJ Dentist 610-525-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS026368L) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-07-07 |