| NPI | 1497392161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHIL BOGHARA Owner 215-946-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2021-01-26 |