| NPI | 1336590637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G MCINTYRE President 215-869-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA DS023368L) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |