| NPI | 1346214954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A BROWN President 610-734-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA ds 023270 l) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA ds 025089 l) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |