NPI | 1477683829 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDE STEVEN KAMINSKY Owner 215-972-9722 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS024820L) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-03-09 |