| NPI | 1316375454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINE PANOSSIAN President 484-550-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NY 052799-1) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |