| NPI | 1376990853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAI-ZU CHI Dr 215-290-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS035784) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: PA DS035784) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |