NPI | 1679749550 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN FOX Insurance Manager 215-743-3700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS020222L) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-06-12 |