| NPI | 1285752881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH MUNDENAR President 215-504-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: PA DS-024081-L) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |