| NPI | 1548887920 |
|---|---|
| Former Legal Business Name | CRAIG WAKFIELD DDS |
| Entity Type | Organization |
| Authorized Contact | ANDREA CRONIN Dentist/Owner 215-732-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |