| NPI | 1194077412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LEVIN Owner 215-241-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-08-28 |