| NPI | 1720259583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA AVANZATO President/CEO 484-432-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |