| NPI | 1710085352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE J SPARANO Office Manager 215-981-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS018716L) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |