| NPI | 1366613135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNIE M. CHECCHIO Owner/President 215-333-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS021854L) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |