| NPI | 1326179524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARK CHIDECKEL Dentist 610-876-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022107L) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |