| NPI | 1437213246 |
|---|---|
| Doing Business As | GPHA HUNTING PARK DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | D TINA SMITH Provider Enrollment Spec. 215-925-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-03-15 |