| NPI | 1538503248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIYAZ K GANGJI Owner 610-861-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS028456L) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2020-04-02 |