NPI | 1679961262 |
---|---|
Entity Type | Organization |
Authorized Contact | YEFIM ARANBAYEV Dentist/President 215-290-8230 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS038565) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2015-01-05 |