| NPI | 1194734988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD F SICILIA President 215-535-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS018365L) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-06-04 |