| NPI | 1457538670 |
|---|---|
| Doing Business As | 5TH ST DENTAL |
| Entity Type | Organization |
| Authorized Contact | PRIYA BAROT Office Manager 215-229-3040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA ds020825l) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-10-22 |