| NPI | 1427198258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F. HERTZOG Owner 215-699-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS024908L) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |