| NPI | 1154660322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA DAVIS Owner/Orthodontist 215-567-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038084) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |