NPI | 1215018130 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC N SHELLY Owner 610-696-3371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026750L) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |