| NPI | 1528024700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR F DOUGLASS Owner 610-370-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: PA DS022591L) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |