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 |