| NPI | 1306135314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SNYDER Office Manager 610-821-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: PA DS-029983L) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |