NPI | 1629245386 |
---|---|
Entity Type | Organization |
Authorized Contact | MONA A. ALBANDAR President 610-277-7110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS036383) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2008-05-13 |