NPI | 1407933203 |
---|---|
Entity Type | Organization |
Authorized Contact | YONG SUN President Dentist 610-768-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031552L) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-11-13 |