| NPI | 1427498690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SHEIPE General Manager 610-373-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |