NPI | 1255609848 |
---|---|
Doing Business As | DENTIST ON WASHINGTON |
Entity Type | Organization |
Authorized Contact | WILLIAM JOHN COSTELLO Dentist/Owner 215-389-9889 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA dso36827) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2011-12-09 |