| NPI | 1639378185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J DALEY President 610-623-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS017186L) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |