| NPI | 1376076166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKASH BAROT Managing Member 215-335-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS040036) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |