| NPI | 1689915316 |
|---|---|
| Doing Business As | ELKINS PARK DENTAL SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | MATHEW CHERIAN President 215-663-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: PA DS037551) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-08-13 |