NPI | 1215172911 |
---|---|
Entity Type | Organization |
Authorized Contact | ILONA ZARICHNY Managing Member 215-743-6686 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 448615) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |