| NPI | 1700880663 |
|---|---|
| Other Name | BLACK AND BASS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE B BLACK Dentist/Partner 215-368-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS025170L) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-06-12 |