| NPI | 1336688712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY C SMEDLEY President 610-269-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS017920) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |