| NPI | 1578684528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N. BORDONARO President 610-434-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-09-15 |