| NPI | 1649549742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANN GREGORY President/Dentist 215-639-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS035192) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |