| NPI | 1619260155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANSUK SETH SEO President 610-828-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036612) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS038105) |
| 1223P0300X Dentist, Periodontics (Licence: PA DS035484) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |