NPI | 1396853883 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH LOUIS SAVERY Office Manager 610-933-3342 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS025551L) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS016107L) |
1223G0001X Dentist, General Practice (Licence: PA DS025528L) | |
122300000X Dentist (Licence: PA DS035956L) | |
Enumeration Date | 2006-08-26 |
Last Update Date | 2020-08-22 |