| NPI | 1720477466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE LESLIE HIPPENSTEEL Owner 215-272-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TN DS8197) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |