| NPI | 1598041014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS FRIDMAN Owner/Practitioner 610-364-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031318-L) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |