| NPI | 1720450190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN ALEXANDER Owner 215-277-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-02-19 |