| NPI | 1285681031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE E GLASER President/Treasurer 610-433-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS025539L) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |