| NPI | 1215119797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RUDOLF Oral&Maxillofacial Surgeon 215-348-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA ds015499l) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-03-28 |