| NPI | 1235575150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE AERI BAEK Office Manager 610-272-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037069) |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |