| NPI | 1295857282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAETANO ALEXANDER STORACE President 215-750-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031072L) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |