| NPI | 1639262462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN S GOLDBERG President 610-696-8966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS013248L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |