| NPI | 1538231220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE COLL Insurance Coordinator 215-743-3700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS018048L) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-05-30 |