NPI | 1649330705 |
---|---|
Other Name | DENTAL SPA ASSOCIATES LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL P BUTTO Owner 610-323-1633 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS035787) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-08-14 |