| NPI | 1164517140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE N. HILDEBRAND President 215-546-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS-016719-L) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |