| NPI | 1386213494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW L LIEBERMAN Authorized Official 610-527-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-08-19 |