| NPI | 1487009312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN PAUL SHAPIRO President/Owner 215-673-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS016324L) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |