NPI | 1255634283 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW PAUL HEINE President 215-968-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036099) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2010-12-14 |