| NPI | 1437269008 |
|---|---|
| Former Legal Business Name | SUBURBAN DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARK B DIAMOND Partner Manager 610-820-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS020511L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS017121L) |
| 122300000X Dentist (Licence: PA DS019952L) | |
| 122300000X Dentist (Licence: PA DS022795L) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |