| NPI | 1407948326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA WILLIAMS Office Manager 215-368-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DSO16352) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DSO16258) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |