NPI | 1518124023 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI FRIEDENBERG Office Manager 215-744-7161 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DSO22865L) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-05-21 |