| NPI | 1619186038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR GOREN President 215-332-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS 19920 L) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-09-12 |