NPI | 1679924468 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J DELGAISO Owner 215-334-3490 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS025748L) |
Enumeration Date | 2016-06-23 |
Last Update Date | 2016-06-23 |