| NPI | 1639885858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SHANER Insurance Specialist 610-970-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-02-22 |