| NPI | 1356531545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY N KALOLA Owner 610-435-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS020234A) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS012453L) |
| 122300000X Dentist (Licence: PA DS016583L) | |
| 122300000X Dentist (Licence: PA DS037274) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |