| NPI | 1508043217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E STEVEN MORICONI Owner 215-884-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS021089L) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |