| NPI | 1689983165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURRAM SIDDIQUI Dentist 215-945-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037654) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |