| NPI | 1215143979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL E WEISS Dentist Periodontist 610-692-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS018591L) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA 18591L) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |