NPI | 1144619180 |
---|---|
Doing Business As | RYAN BAEK DENTAL |
Entity Type | Organization |
Authorized Contact | AERI (KATIE) BAEK Office Manager 215-643-0300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS037069) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2015-01-14 |