| NPI | 1265629950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. FABEY President 610-253-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028645L) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |