| NPI | 1639558950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S GOLDSTEIN President 215-707-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS036846) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |