| NPI | 1447687017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE YUROVSKY Owner 215-545-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS031579L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS027407L) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |