NPI | 1578551628 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY THANH LAM President 215-271-6999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035152) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2008-08-11 |