| NPI | 1639168701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDAL YACOUB Owner/Dentist 610-360-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS031269L) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2018-03-21 |