| NPI | 1699877167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C. NELSON President 610-696-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018272L) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2020-08-22 |