| NPI | 1538266051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WARREN FLOWERS President 610-370-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |