| NPI | 1700935616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT STEVEN SHEAR President 610-867-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS017770-L) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |