| NPI | 1487709473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON L. RICHTER President 215-545-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS017231L) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PA DS017231L) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-09-12 |