| NPI | 1548599541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SLEPAK Managing Member 215-327-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D7043) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |