| NPI | 1437581261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HARPER Office Manager 610-363-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS031296L) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS037114) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2013-08-03 |