NPI | 1548565716 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNG JOO JEONG Owner 610-828-1666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-036185) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2011-01-20 |