| NPI | 1457478430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CRAIG CUNNING Dentist President 215-345-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS021546L) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |