| NPI | 1659516201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A LANTZY Sole Member 215-860-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS-022966-L) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-08-17 |