NPI | 1457621559 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SEPEHR AGUBEGI Dentist/Owner 610-647-0353 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS-030859-L) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS020247L) |
1223G0001X Dentist General Practice (Licence: PA DS037487) | |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |