| NPI | 1447377635 |
|---|---|
| Doing Business As | MALVERN DENTAL MEDICINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH STEPHEN RAVA President 610-363-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS027677L) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |