| NPI | 1164590980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE C PARKER Office Manager 610-383-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS035533) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |