| NPI | 1700096344 |
|---|---|
| Doing Business As | DENTISTS ON THE SQUARE |
| Entity Type | Organization |
| Authorized Contact | JEROLD WARREN MILLER President 215-567-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |