| NPI | 1710107065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR GARY SHMURAK Business Owner 215-996-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PA DS 036591) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2013-08-14 |