| NPI | 1528100039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMMA T CHENNAT President 215-248-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS019459L) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-07-23 |