| NPI | 1205637352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA GOLDIN President 215-942-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-23 |