| NPI | 1255628608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJJAD MALIK Manager 215-745-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035070) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |