| NPI | 1417975343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HRIDAI MOKTAN Business Manager & Director 610-363-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031048L) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-09-28 |