| NPI | 1255523650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHESS Partner 215-462-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS-030824-L) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |