NPI | 1497702914 |
---|---|
Entity Type | Organization |
Authorized Contact | CLYDE KNOX President 215-848-2023 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA 022033-L) |
Enumeration Date | 2006-05-29 |
Last Update Date | 2020-08-22 |