NPI | 1407180474 |
---|---|
Other Name | PRECIOUS SMILES FAMILY & IMPLANT DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUIS ANTONIO LUGO General Dentist/President 215-771-1076 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036132) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |