| NPI | 1598778417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED SHAMSEDDIN Owner 610-944-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA BS2998459) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |