NPI | 1619908803 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK L HOFFMAN President 610-377-1942 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA Ds026197L) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS021514L) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-08-22 |