| NPI | 1679895874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE IERARDI Dentist/Owner 215-238-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS024194L) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |