| NPI | 1538393392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAGAN UPPAL Dentist/Owner 215-676-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS037672) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |