| NPI | 1669577987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNA M VENNERI Secretary Of Corp 215-675-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS026858L) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS013110L) |
| 122300000X Dentist (Licence: PA DS025876L) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |