| NPI | 1265590707 |
|---|---|
| Doing Business As | PRO-DENT |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE PAUL Owner 215-860-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 22D102138300) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |