| NPI | 1154348662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANTON M BRAID President 215-735-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS018002L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-06-13 |