| NPI | 1396800678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN SHUTTLESWORTH Owner 610-376-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS025949L) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |