| NPI | 1306603881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL BROGAN President 215-482-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |