NPI | 1174034532 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT SILVERMAN Owner 215-637-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS026745L) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |