| NPI | 1396101333 |
|---|---|
| Former Legal Business Name | DOCTORS OF DENTAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LOUIS ANTHONY D'ANGELO CEO 215-816-5408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DIO1469400) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NJ 22HI0046500) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |