| NPI | 1700905478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R GORDON President 484-485-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS017817L) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2009-11-20 |