| NPI | 1669649810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY VANDNA M MANKAD Secretary Manager 215-567-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS019431L) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |