| NPI | 1669684197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T. KINGSTON Oral Surgeon 610-868-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS022250L) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-09-08 |