| NPI | 1356519169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A NORRIS Office Manager 215-955-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: PA DS021284L) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |