| NPI | 1699127563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MINSK Periodontist/President 610-328-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS028124L) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: PA DS029928L) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |