| NPI | 1588043848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SOLOW Doctor 610-304-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS038347) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS028631L) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS017405L) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS019948L) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |