| NPI | 1679917058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BALATGEK Doctor/Owner 610-796-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS030258L) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2014-07-31 |