| NPI | 1609171388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNG JOO JEONG Owner 610-828-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-036185) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |