NPI | 1508116500 |
---|---|
Doing Business As | MANAHAWKIN DENTAL |
Entity Type | Organization |
Authorized Contact | MELISSA REMENTER Insurance 215-704-4430 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-09-17 |
Last Update Date | 2012-09-17 |