| NPI | 1700119187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN SMITH Office Manager 610-353-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PA DS030593L) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |