| NPI | 1649438839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M ZACCARIA Member 610-594-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS017468L) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2008-05-26 |