| NPI | 1619013364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID OLIVER MALTZ Dentist 610-667-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS022365L) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-25 |