| NPI | 1649990888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEAN-BURTON President 610-710-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251V00000X Voluntary or Charitable | |
| 261QD0000X Clinic/Center, Dental | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |