NPI | 1215960349 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN P POWELL Owner 610-323-6520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028301L) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2013-01-02 |