| NPI | 1164546149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FREDERIC HORNICK President 215-616-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035656) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS031066) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |