| NPI | 1639380033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J HAVRILLA President 610-328-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS024390-L) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |