| NPI | 1336488725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY ROSSIUS Owner Member 484-557-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS038958) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |