| NPI | 1417467945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE H CHUONG Doctor/Owner 610-385-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS-028367L) |
| 122300000X Dentist (Licence: PA DS-022827L) | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |