| NPI | 1386868453 |
|---|---|
| Other Name | NORTHEAST DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KINGA KOSTOLOWSKA President 215-634-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028239L) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |