NPI | 1316193451 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD R RAUKTIS Dentist 610-253-4343 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS019377L) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS035546) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2008-08-08 |