| NPI | 1487898102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA VINNIKOV General Dentist 215-230-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036507) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |