| NPI | 1568603744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROSTAMI Dentist 215-878-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS029137L) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |