| NPI | 1417910589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE HILL Business Office Manager 610-431-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-10-27 |