NPI | 1316501166 |
---|---|
Doing Business As | WATER'S EDGE DENTAL PLLC |
Entity Type | Organization |
Authorized Contact | ANDREW M ROSEN Dentist 610-608-6808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-04-26 |
Last Update Date | 2019-04-26 |