| NPI | 1659464345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M LANDES President 215-504-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA ds-035953) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY ds020688) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |