| NPI | 1154717825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON AIRE WERTHEIMER Dentist 267-388-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS019271L) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-13 |