| NPI | 1316026628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY J. HECKENBERGER Owner 610-866-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023663L) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |