| NPI | 1588864631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE FAY President 610-459-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DE G10000981) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |