| NPI | 1629117098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER W JOHNSON President 610-434-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS021724L) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: PA DS026311L) |
| 1223G0001X Dentist General Practice (Licence: PA DS026533L) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |