| NPI | 1710292255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT SCHLANG Owner 877-929-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037689) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2016-04-19 |