| NPI | 1386992873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KUTOVOY Owner 215-342-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS020408L) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |