| NPI | 1265736037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R. SCHMOYER Member 610-252-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA ds036893) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |