| NPI | 1174902530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRIEL Clinic Leader 215-499-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS016011L) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |