| NPI | 1184275299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE DORFMAN Owner 215-917-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |