| NPI | 1205644648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J MELE Doctor 215-886-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-19 |