| NPI | 1487659991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LAND Vice President 215-345-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2022-07-21 |