| NPI | 1558710236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KUTOVOY President 215-342-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS020408L) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |