| NPI | 1689978934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA M MCCORMICK President 610-932-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS036581) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |