| NPI | 1326189820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONI MASTRA Financial Director 215-492-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035389) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS035558) |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-05-10 |