NPI | 1164574745 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID JAMES GUBA Oral & Maxillofacial Surgeon 215-887-2385 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS-027812-L) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2020-08-22 |