| NPI | 1649566738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RICKS Financial Manager 215-707-7756 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PA DS018795L) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |