| NPI | 1568681310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C TOLLEY President 610-489-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS023140L) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |