| NPI | 1710272349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH PATEL Practice Manager 215-728-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037847) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2011-06-11 |