| NPI | 1235346883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WOLK Director Patient Revenue 215-898-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS020010L) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |