| NPI | 1457637654 |
|---|---|
| Doing Business As | REVERE DENTAL |
| Entity Type | Organization |
| Authorized Contact | PARUL TRIVEDI CEO 215-333-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS020825L) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |