NPI | 1548425606 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC N SHELLY President 610-696-3371 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026750L) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2008-08-04 |