| NPI | 1275993859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A LANTZY Owner 215-860-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS022966L) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |