| 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 |