| NPI | 1659670479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN PRISCO Office Manager 215-568-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS027921L) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |