| NPI | 1205234382 |
|---|---|
| Doing Business As | PENN DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ALISA G KAUFFMAN Clinical Director 215-746-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038838) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |