NPI | 1548629561 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE F ROGINSKY President 610-254-5081 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS030775L) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |