| NPI | 1225453442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FAROLE President 610-668-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS022779L) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |