| NPI | 1265632186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERSAD HOORFAR President 610-256-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS029513L) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |