| NPI | 1558309161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARC WEINER President 215-632-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-019951L) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |