| NPI | 1669681490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN THOMAS Owner 610-544-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS037784) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-03-14 |