| NPI | 1144591140 |
|---|---|
| Doing Business As | JENKINTOWN DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRIAN WILK Chief Dental Officer 215-822-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS027199L) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |