| NPI | 1427206515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDRA SINGH CEO 610-933-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026473L) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: PA DS026806L) |
| 1223G0001X Dentist, General Practice (Licence: PA DS037032) | |
| 1223P0300X Dentist, Periodontics (Licence: PA DS027974L) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS027665L) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |