| NPI | 1588965537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA VIVIAN IRVIN Owner Dentist 215-329-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS023289L) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |