| NPI | 1144663550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JUNE SIBBACH President 610-390-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56948) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |