| NPI | 1295458651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GIBSON Office Manager 610-566-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |