| NPI | 1699874784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. TANZILLI President 610-431-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS026968L) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |