| NPI | 1235876079 |
|---|---|
| Doing Business As | NEW STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | GENE TUNNEY Member 610-867-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-05-13 |