NPI | 1629960323 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD FLEISCHMAN Owner 215-545-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-07-17 |